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[Substernal goitre. Personal experience].

Carmelo Sciumè1, Girolamo Geraci, Franco Pisello

  • 1Università degli Studi di Palermo, Azienda Ospedaliero-Universitaria Policlinico Paolo Giaccone Dipartimento di Chirurgia Generale, d'Urgenza e dei Trapianti d'Organo, Sezione di Chirurgia Generale ad Indirizzo Toracico. carmesci@hotmail.com

Annali Italiani Di Chirurgia
|July 11, 2006
PubMed
Summary

Substernal goiters (SG) present diagnostic and therapeutic challenges. Most SGs can be safely resected via a cervical approach, though sternotomy may be needed for complex cases.

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Area of Science:

  • Endocrinology
  • Surgical Oncology
  • Thoracic Surgery

Context:

  • Substernal goiter (SG) poses diagnostic and therapeutic challenges.
  • Retrospective analysis of 12 SG patients treated between 2000-2005.
  • Evaluation of clinical data, diagnostics, surgical outcomes, and complications.

Purpose:

  • To discuss diagnostic and therapeutic challenges of substernal goiter.
  • To assess surgical treatment outcomes and complications for SG.
  • To determine optimal surgical approaches for substernal goiter.

Summary:

  • Chest radiography confirmed SG in all patients; cervical mass and dyspnea were common symptoms.
  • Total thyroidectomy via cervical incision was performed in all cases, with 8% mortality and 16% temporary hypoparathyroidism.

Related Experiment Videos

  • Malignancy was found in 16% of patients; cervical approach is generally safe and effective for SG resection.

    • Impact:

    • Highlights the importance of accurate diagnosis and surgical technique for substernal goiter.
    • Demonstrates the feasibility and safety of cervical approach for most substernal goiter resections.
    • Provides insights into managing substernal goiter complications and identifying malignancy.