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Year : 2021  |  Volume : 27  |  Issue : 2  |  Page : 193-198

Surgical management of retrosternal (intrathoracic) goitre

Department of General Surgery, Kerala Institute of Medical Sciences, Thiruvananthapuram, Kerala, India

Correspondence Address:
Dr. Mohamad Safwan
Department of General Surgery, Kerala Institute of Medical Sciences, Thiruvananthapuram - 695 011, Kerala
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ksj.ksj_11_21

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The neck is 'a space with no bottom' as described by Lahey and Swinton. Large multinodular goitre in the neck enlarges and descends to the chest for variable extent. Such goitre is called plunging or secondary retrosternal goitre. Rarely, these can be primary intrathoracic goitre from ectopic thyroid tissue. Large retrosternal goitre produces pressure symptoms and may become toxic or malignant. Thyroidectomy is the treatment of choice for retro-sternal goitre which carries great challenge for the surgeons. Here, our objectives to present (1) characteristic features of primary and secondary intrathoracic goitre. (2) Basic evaluation and concise pre-operative assessment for thyroidectomy and (3) surgical steps of the procedure emphasising on safety for a large intrathoracic goitre. Most of the cases of retrosternal goitre can be removed safely via a cervical approach.

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