A giant posterior mediastinal goiter

Goiter is defined as abnormal (either nodular or diffuse) growth of the thyroid gland. The normal thyroid gland is located in neck, caudal to larynx in anterolateral portion of the trachea. Intrathoracic goiter, defined as growth of more than 50% of the thyroid gland below the thoracic operculum, mo...

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Main Authors: Ajin Anto, Surjeet Dwivedi, Raj Mohan, Rakesh Jha
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:CHRISMED Journal of Health and Research
Subjects:
Online Access:http://www.cjhr.org/article.asp?issn=2348-3334;year=2022;volume=9;issue=4;spage=282;epage=284;aulast=Anto
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author Ajin Anto
Surjeet Dwivedi
Raj Mohan
Rakesh Jha
author_facet Ajin Anto
Surjeet Dwivedi
Raj Mohan
Rakesh Jha
author_sort Ajin Anto
collection DOAJ
description Goiter is defined as abnormal (either nodular or diffuse) growth of the thyroid gland. The normal thyroid gland is located in neck, caudal to larynx in anterolateral portion of the trachea. Intrathoracic goiter, defined as growth of more than 50% of the thyroid gland below the thoracic operculum, mostly located in anterior mediastinum and is seen in only 8%–15% of all goiters. Posterior mediastinal goiters (PMGs) are rare and accounts for only 2% of intrathoracic goiters. Patients usually present with a cervical mass and local pressure symptoms due to tracheal, esophageal, or superior vena cava compression. The diagnosis is established by chest X-ray, computed tomography scan, and fine-needle aspiration cytology. A combined cervicothoracic approach is the procedure of choice as it provides easy access, better visualization, and optimal control of blood vessels. We, hereby, describe a case of giant PMG, which was managed successfully at our center.
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spelling doaj.art-e4c5bf84b11043c78992cada99917dd22023-05-18T05:04:51ZengWolters Kluwer Medknow PublicationsCHRISMED Journal of Health and Research2348-33342348-506X2022-01-019428228410.4103/cjhr.cjhr_86_22A giant posterior mediastinal goiterAjin AntoSurjeet DwivediRaj MohanRakesh JhaGoiter is defined as abnormal (either nodular or diffuse) growth of the thyroid gland. The normal thyroid gland is located in neck, caudal to larynx in anterolateral portion of the trachea. Intrathoracic goiter, defined as growth of more than 50% of the thyroid gland below the thoracic operculum, mostly located in anterior mediastinum and is seen in only 8%–15% of all goiters. Posterior mediastinal goiters (PMGs) are rare and accounts for only 2% of intrathoracic goiters. Patients usually present with a cervical mass and local pressure symptoms due to tracheal, esophageal, or superior vena cava compression. The diagnosis is established by chest X-ray, computed tomography scan, and fine-needle aspiration cytology. A combined cervicothoracic approach is the procedure of choice as it provides easy access, better visualization, and optimal control of blood vessels. We, hereby, describe a case of giant PMG, which was managed successfully at our center.http://www.cjhr.org/article.asp?issn=2348-3334;year=2022;volume=9;issue=4;spage=282;epage=284;aulast=Antocervicothoracic incisionintrathoracic goiterposterior mediastinal goiterretrosternal goiter
spellingShingle Ajin Anto
Surjeet Dwivedi
Raj Mohan
Rakesh Jha
A giant posterior mediastinal goiter
CHRISMED Journal of Health and Research
cervicothoracic incision
intrathoracic goiter
posterior mediastinal goiter
retrosternal goiter
title A giant posterior mediastinal goiter
title_full A giant posterior mediastinal goiter
title_fullStr A giant posterior mediastinal goiter
title_full_unstemmed A giant posterior mediastinal goiter
title_short A giant posterior mediastinal goiter
title_sort giant posterior mediastinal goiter
topic cervicothoracic incision
intrathoracic goiter
posterior mediastinal goiter
retrosternal goiter
url http://www.cjhr.org/article.asp?issn=2348-3334;year=2022;volume=9;issue=4;spage=282;epage=284;aulast=Anto
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AT rajmohan agiantposteriormediastinalgoiter
AT rakeshjha agiantposteriormediastinalgoiter
AT ajinanto giantposteriormediastinalgoiter
AT surjeetdwivedi giantposteriormediastinalgoiter
AT rajmohan giantposteriormediastinalgoiter
AT rakeshjha giantposteriormediastinalgoiter