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Intrathoracic retroesophageal goiter causing tracheal stenosis
H Tsukada1, K Kojima, S Takeuchi
1Department of Surgery (Division of Chest Surgery), St. Marianna University School of Medicine, Kanagawa, Japan.
The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyobu Geka Gakkai Zasshi
|June 8, 1999
Summary
A large thyroid goiter caused severe tracheal compression and stridor in a 65-year-old woman. Surgical removal via a combined approach successfully relieved symptoms, with the patient recovering well a year later.
Area of Science:
- Cardiothoracic Surgery
- Endocrinology
- Surgical Oncology
Background:
- A huge goiter can extend into the mediastinum, causing significant airway compression.
- Retrosternal extension of thyroid masses presents unique surgical challenges.
Observation:
- A 65-year-old woman presented with stridor due to a massive thyroid goiter.
- Chest X-ray revealed the goiter extending retroesophageally and into the posterior mediastinum, compressing the trachea.
Findings:
- Complete surgical resection of the retroesophageal and mediastinal goiter was achieved.
- A combined thoracic and cervical surgical approach facilitated tumor removal.
Implications:
- This case highlights the feasibility of surgical management for extensive mediastinal goiters.
- Successful surgical intervention can lead to complete resolution of airway obstruction symptoms.