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Development of Giant Substernal Thyroid After Thyroidectomy: A Case Report

Year 2012, Volume: 37 Issue: 4, 234 - 237, 01.12.2012

Abstract

The origins of mediastinal masses could be traumatic, infectious, degenerative, or neoplastic origin. Occasionaly substernal goiters could grow into the mediastinum leading to giant mediastinal masses. We report a case of a 55-year-old female patient admitted to our clinic with major complaints of chronic cough and dyspnea. Mass that extended from the posterior mediastinum and multiple nodules in the left thyroid lobe were detected in thorax computed tomography which lead to operation . As in our case The development of a giant mediastinal mass in recurrent thyroid patients after thyroidectomy could occur rarely.

References

  • 1. Creswell LL, Wells SA. Mediastinal masses originating in the neck. Chest Surgery Clinics of North America. 1992:23-55
  • 2. Agha A, Glockzin G, Ghali N, Iesalnieks I, Schlitt HJ. Surgical treatment of substernal goiter: an analysis of 59 patients. Surg Today. 2008;38:505-11.
  • 3. İrfanoğlu ME, Abacı Y, Hatipoğlu AR. Substernal guatrda cerrahi tedavi. Çağdaş Cerrahi Dergisi. 2003;17:35-8.
  • 4. Hedeyat i N, McHenry CR. The Clinical presentation and operative management of nodular and diffuse substernal thyoid disease. Am Surg. 2002;68.245-51
  • 5. White ML, Doherty GM, Gauger PG. Evidence-based surgical management of substernal goiter. World J Surg. 2008;32:1285-300.
  • 6. Erbil Y, Bozbora A, Barbaros U, Özarmağan S, Azezli A, Molvalılar S. Surgical management of substernal goiters: Clinical experience of 170 cases. Surg Today. 2004;34:7326.
  • 7. Wang LS, Shai SE, Fahn HJ, Chan KH, Chen MS, Huang MS. Surgical management of substernal goiter. Scand J Thorac Cardiovasc Surg. 1994;28.79- 83.
  • 8. Kaya S, Tastepe I, Kaptanoğlu M, Yüksel M, Topcu S, Çetin G. Management of Intrathoracic goitre. Scand J Thorac Cardiovasc Surg. 1994;28:85-9.
  • 9. Grainger J, Saravanappa N, D.Souza A, Wilcock D, Wilson P. The Surgical approach to retrosternal goiters: The role of computerized tomography. Otolaryngol Head Neck Surg. 2005;132:849-51.
  • 10. Newman E, Shaha AR. Substernal goiter. J Surg Oncol. 1995;60:207-212.
  • 11. Katlic MR, Wang C, Crillo HC. Substernal goiter. Ann Thorac Surg. 1985;.39:391.

Tiroidektomi Sonrası Gelişen Mediastene Uzanan Dev Substernal Tiroid: Bir Olgu Sunumu

Year 2012, Volume: 37 Issue: 4, 234 - 237, 01.12.2012

Abstract

Mediastinal kitleler, konjenital, travmatik,enfeksiyon, dejeneratif veya neoplazm kaynaklı olabilirler. Arasıra substernal guatrlar; mediastene doğru büyüyebilir ve mediastende dev kitleler oluşturabilirler. Bu yazıda sunulan olgu 55 yaşında bir kadın hasta, kronik öksürük ve dispne nedeniyle polikliniğimize başvurmuştur. Toraks BT de arka mediastene uzanım gösteren kitle ve sol tiroid lobunda multiple nodüller saptanmış, hasta opere edilmiştir. Olgumuzdaki gibi tiroidektomi sonrası nüks nodüllerle beraber dev mediastinal kitle gelişimi nadir olarak görülmektedir.

References

  • 1. Creswell LL, Wells SA. Mediastinal masses originating in the neck. Chest Surgery Clinics of North America. 1992:23-55
  • 2. Agha A, Glockzin G, Ghali N, Iesalnieks I, Schlitt HJ. Surgical treatment of substernal goiter: an analysis of 59 patients. Surg Today. 2008;38:505-11.
  • 3. İrfanoğlu ME, Abacı Y, Hatipoğlu AR. Substernal guatrda cerrahi tedavi. Çağdaş Cerrahi Dergisi. 2003;17:35-8.
  • 4. Hedeyat i N, McHenry CR. The Clinical presentation and operative management of nodular and diffuse substernal thyoid disease. Am Surg. 2002;68.245-51
  • 5. White ML, Doherty GM, Gauger PG. Evidence-based surgical management of substernal goiter. World J Surg. 2008;32:1285-300.
  • 6. Erbil Y, Bozbora A, Barbaros U, Özarmağan S, Azezli A, Molvalılar S. Surgical management of substernal goiters: Clinical experience of 170 cases. Surg Today. 2004;34:7326.
  • 7. Wang LS, Shai SE, Fahn HJ, Chan KH, Chen MS, Huang MS. Surgical management of substernal goiter. Scand J Thorac Cardiovasc Surg. 1994;28.79- 83.
  • 8. Kaya S, Tastepe I, Kaptanoğlu M, Yüksel M, Topcu S, Çetin G. Management of Intrathoracic goitre. Scand J Thorac Cardiovasc Surg. 1994;28:85-9.
  • 9. Grainger J, Saravanappa N, D.Souza A, Wilcock D, Wilson P. The Surgical approach to retrosternal goiters: The role of computerized tomography. Otolaryngol Head Neck Surg. 2005;132:849-51.
  • 10. Newman E, Shaha AR. Substernal goiter. J Surg Oncol. 1995;60:207-212.
  • 11. Katlic MR, Wang C, Crillo HC. Substernal goiter. Ann Thorac Surg. 1985;.39:391.
There are 11 citations in total.

Details

Primary Language Turkish
Journal Section Research
Authors

Murat Öncel This is me

Gülfem Yıldırım This is me

Fikret Kanat This is me

Güven Sadi Sunam This is me

Publication Date December 1, 2012
Published in Issue Year 2012 Volume: 37 Issue: 4

Cite

MLA Öncel, Murat et al. “Tiroidektomi Sonrası Gelişen Mediastene Uzanan Dev Substernal Tiroid: Bir Olgu Sunumu”. Cukurova Medical Journal, vol. 37, no. 4, 2012, pp. 234-7.