open access

Vol 77, No 1 (2018)
CASE REPORTS
Published online: 2017-08-18
Submitted: 2017-04-23
Accepted: 2017-07-27
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Successful combined surgical approach in a rare case of retrotracheal goitre in a patient with anatomical impediments

E. Spartalis, C. Damaskos, D. Moris, A. Athanasiou, M. Spartalis, G. Karagkiouzis, D. Schizas, D. Dimitroulis, P. Tomos
DOI: 10.5603/FM.a2017.0072
·
Pubmed: 28832090
·
Folia Morphol 2018;77(1):166-169.

open access

Vol 77, No 1 (2018)
CASE REPORTS
Published online: 2017-08-18
Submitted: 2017-04-23
Accepted: 2017-07-27

Abstract

Diving goitres can descend the cervical region expanding directly into the thoracic cavity. In most cases, diving goitres extend into the anterosuperior compartment, but they may also extend behind the trachea. We herein present a case of a male patient with retrotracheal goitre and history of left thyroid lobectomy and median sternotomy for thoracic aortic aneurysm repair with graft placement. After detailed preoperative evaluation, the patient underwent surgical resection of the mass through a combined approach; the existing cervical incision and a right posterolateral mini-thoracotomy. The postoperative course of the patient was uncomplicated. One year after surgery, the patient is asymptomatic and disease-free. (Folia Morphol 2018; 77, 1: 166–169)

Abstract

Diving goitres can descend the cervical region expanding directly into the thoracic cavity. In most cases, diving goitres extend into the anterosuperior compartment, but they may also extend behind the trachea. We herein present a case of a male patient with retrotracheal goitre and history of left thyroid lobectomy and median sternotomy for thoracic aortic aneurysm repair with graft placement. After detailed preoperative evaluation, the patient underwent surgical resection of the mass through a combined approach; the existing cervical incision and a right posterolateral mini-thoracotomy. The postoperative course of the patient was uncomplicated. One year after surgery, the patient is asymptomatic and disease-free. (Folia Morphol 2018; 77, 1: 166–169)

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Keywords

retrotracheal, goitre, aortic grafting, thyroidectomy, thoracotomy

About this article
Title

Successful combined surgical approach in a rare case of retrotracheal goitre in a patient with anatomical impediments

Journal

Folia Morphologica

Issue

Vol 77, No 1 (2018)

Pages

166-169

Published online

2017-08-18

DOI

10.5603/FM.a2017.0072

Pubmed

28832090

Bibliographic record

Folia Morphol 2018;77(1):166-169.

Keywords

retrotracheal
goitre
aortic grafting
thyroidectomy
thoracotomy

Authors

E. Spartalis
C. Damaskos
D. Moris
A. Athanasiou
M. Spartalis
G. Karagkiouzis
D. Schizas
D. Dimitroulis
P. Tomos

References (17)
  1. Burns P, Doody J, Timon C. Sternotomy for substernal goitre: an otolaryngologist's perspective. J Laryngol Otol. 2008; 122(5): 495–499.
  2. Chong CF, Cheah WK, Sin FL, et al. Posterior mediastinal goiter. Asian Cardiovasc Thorac Ann. 2004; 12(3): 263–265.
  3. Cohen J, Cho H. Surgery for substernal goiters. Oper Techn Otolaryngol Head Neck Surg. 1994; 5(2): 118–125.
  4. Cohen J. Substernal goiters and sternotomy. Laryngoscope. 2009; 119(4): 683–688.
  5. Cougard P, Matet P, Goudet P, et al. Les goitres plongeants: 218 cas operes. Ann Endocrinol (Paris). 1992; 53: 230–235.
  6. Dahan M, Gaillard J, Eschapasse H. Surgical treatment of goiters with intrathoracic development. In: Delarue M (ed) International trends in general thoracic surgery. Thoracic Surgery: Frontiers and uncommon neoplasms. Mosby, St Louis, Volume 5. 1989; 240: 246.
  7. de Perrot M, Fadel E, Mercier O, et al. Surgical management of mediastinal goiters: when is a sternotomy required? Thorac Cardiovasc Surg. 2007; 55(1): 39–43.
  8. De Souza FM, Smith PE. Retrosternal goiter. J Otolaryngol. 1983; 12: 393–396.
  9. Flati G, De Giacomo T, Porowska B, et al. Surgical management of substernal goitres. When is sternotomy inevitable? Clin Ter. 2005; 156(5): 191–195.
  10. Hashmi SM, Premachandra DJ, Bennett AMD, et al. Management of retrosternal goitres: results of early surgical intervention to prevent airway morbidity, and a review of the English literature. J Laryngol Otol. 2006; 120(8): 644–649.
  11. Huins CT, Georgalas C, Mehrzad H, et al. A new classification system for retrosternal goitre based on a systematic review of its complications and management. Int J Surg. 2008; 6(1): 71–76.
  12. Monchik JM, Materazzi G. The necessity for a thoracic approach in thyroid surgery. Arch Surg. 2000; 135(4): 467–71; discussion 471.
  13. Sancho JJ, Kraimps JL, Sanchez-Blanco JM, et al. Increased mortality and morbidity associated with thyroidectomy for intrathoracic goiters reaching the carina tracheae. Arch Surg. 2006; 141(1): 82–85.
  14. Shahian DM, Rossi RL. Posterior mediastinal goiter. Chest. 1988; 94(3): 599–602.
  15. Spartalis ED, Karatzas T, Charalampoudis P, et al. Neglected papillary thyroid carcinoma seven years after initial diagnosis. Case Rep Oncol Med. 2013; 2013: 148973.
  16. Vadasz P, Kotsis L. Surgical aspects of 175 mediastinal goiters. Eur J Cardiothorac Surg. 1998; 14(4): 393–397.
  17. White ML, Doherty GM, Gauger PG. Evidence-based surgical management of substernal goiter. World J Surg. 2008; 32(7): 1285–1300.

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