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Updated: Sep 23, 2025

Minimal Invasive Resection of Large Retrosternal Thyroid Goiter

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Published on: September 20, 2024

Giant cervical goiter in Hashimoto's thyroiditis: A case report.

Tang Tao^1,2, Yang Gang^1,2, Sun Ji^1,2

¹The First Department of Hepatobiliary Surgery, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan Province 637000, China.

The Journal of International Medical Research

|May 11, 2022

Summary

Giant cervical goiters, often caused by Hashimoto's thyroiditis, can be surgically removed. This case highlights successful total en bloc excision of a massive thyroid tumor, preserving vital nerves and glands.

Keywords:

Giant goiter Hashimoto’s thyroiditis case report en bloc excision hyperthyroidism thyroid

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Area of Science:

Endocrinology
Surgical Oncology

Background:

Giant cervical goiters, defined as thyroid masses >8 cm, are typically nodular or adenomatous.
Hashimoto's thyroiditis can also cause giant goiters, necessitating surgery for malignancy suspicion, persistent symptoms, or enlargement.

Observation:

A case report details a woman with a massive thyroid tumor causing compression symptoms, nearly the largest documented.
The tumor involved both lobes, measuring 16×9×5.5 cm (left) and 12×8×4 cm (right).

Findings:

Total en bloc excision successfully removed the bilateral giant thyroid tumor.
The surgery preserved the recurrent laryngeal nerves and parathyroid glands in situ.
Pathological diagnosis confirmed Hashimoto's thyroiditis.

Implications:

Surgical excision is the primary treatment for giant goiters in Hashimoto's thyroiditis, despite surgical challenges.
Effective surgical management can reduce complication rates associated with giant goiters.