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

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.