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[Intrathoracic goiters. 62 surgically treated patients]
E Fadel1, A Chapelier, C Lancelin
1Départment de Chirurgie thoracique, vasculaire et de Transplantation cardiopulmonaire, Hôpital Marie-Lannelongue, Le Plessis-Robinson.
Presse Medicale (Paris, France : 1983)
|May 18, 1996
Summary
Surgical removal of intrathoracic goiters is necessary for tracheal compression. This study found low morbidity with simple cervicotomy, making it a safe option for these mediastinal tumors.
Area of Science:
- Thoracic surgery
- Endocrinology
- Neurosurgery
Context:
- Intrathoracic goiters are mediastinal tumors.
- Malignancy is rare, but tracheal compression is a risk.
- Surgical exeresis is a treatment option.
Purpose:
- To report experience with surgical exeresis of intrathoracic goiters.
- To evaluate the safety and efficacy of surgical interventions.
- To analyze patient demographics and presenting symptoms.
Summary:
- 62 patients with intrathoracic goiter underwent surgery between 1980-1995.
- Dyspnea and mediastinal masses on X-ray were common presentations.
- All goiters were benign; surgery had zero mortality and 11% morbidity, with simple cervicotomy being the primary approach.
Impact:
- Surgical exeresis is indicated for respiratory distress caused by tracheal compression.
- Simple cervicotomy is associated with low morbidity for intrathoracic goiter removal.
- This study provides valuable data on the surgical management of intrathoracic goiters.