期刊
CASE REPORTS IN ONCOLOGY
卷 14, 期 3, 页码 1353-1358出版社
KARGER
DOI: 10.1159/000518532
关键词
Substernal goiter; Transcervical approach; Sternotomy; Extended neck computed tomography
类别
The case involves a 68-year-old woman diagnosed with a substernal goiter 20 years ago. Preoperative evaluation of the substernal extent of the goiter via CT scan in the extended neck position helped in determining whether sternotomy was necessary, ultimately avoiding the need for this procedure.
Sternotomy is indicated when a goiter cannot be resected via a cervical incision, such as in the case of a substernal goiter extending beyond the aortic arch. In this article, we report a case of a large substernal goiter that was successfully removed using the cervical approach only. This is a case of a 68-year-old woman, diagnosed with goiter 20 years ago, who complained of a neck mass enlargement with associated cough. Pathological examination revealed no malignancy. Computed tomography (CT) scan showed an 11-cm thyroid mass reaching the level of the aortic arch. Preoperatively, we evaluated the substernal extent of the goiter via CT in the extended neck position to decide whether sternotomy was necessary. With the patient's neck extended, the goiter withdraws cranially above the aortic arch. The mass was then removed via the cervical approach without sternotomy. Preoperative CT in the extended neck position was thus deemed helpful in deciding whether or not sternotomy was required. (C) 2021 The Author(s). Published by S. Karger AG, Basel
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