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Substernal Thyroid Biopsy Using Endobronchial Ultrasound-guided Transbronchial Needle Aspiration
Published on: November 10, 2014
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Mediastinal goitre - a South African case series
I Bombil1, P N Mogane2, R A Muganza1
1Department of Surgery, Faculty of Health Sciences, University of the Witwatersrand, South Africa.
Summary
Mediastinal goitres, often presenting with vague symptoms, require advanced imaging like CT scans. This case series details surgical approaches and complications, emphasizing benign outcomes despite airway challenges.
Area of Science:
- Thoracic Surgery
- Endocrinology
- Anesthesiology
Background:
- Mediastinal goitres are rare and often diagnosed late due to non-specific cardiorespiratory symptoms.
- Contrast-enhanced computed tomography (CT) is the preferred imaging modality for diagnosis.
Purpose of the Study:
- To present a case series on mediastinal goitres.
- To highlight clinical presentation, surgical techniques, airway management, complications, and histopathology.
Main Methods:
- Retrospective case series over nine years.
- Four cases of euthyroid mediastinal goitre treated with sternotomy.
- Analysis of clinical data, surgical procedures, and histopathology.
Main Results:
- All four patients were female with a mean age of 57.5 years.
- Most presented with non-specific cardiorespiratory symptoms.
- Two cases of recurrent laryngeal nerve (RLN) injury occurred; all histopathology reports were benign.
Conclusions:
- Mediastinal goitres presented atypically in this series.
- Sternotomy was the surgical approach for all patients.
- Despite airway challenges, intubations were uneventful, and no malignant pathology was found.
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