1. Retrotracheal goiter: a diagnostic and therapeutic problem.
- Author
-
Waldron D, Coffey J, Murphy S, Bresnihan E, Finnegan P, and Lynch V
- Subjects
- Adenoma surgery, Aged, Goiter, Substernal surgery, Humans, Male, Thyroid Neoplasms surgery, Adenoma diagnosis, Goiter, Substernal diagnosis, Thyroid Neoplasms diagnosis
- Abstract
A patient with chronic cough and recent dysphagia was found to have a retrotracheal mass extending into the visceral mediastinum on chest roentgenogram. A computed tomographic scan confirmed a retrotracheal lesion, which was believed to be of lymphatic origin. A thyroid scan demonstrated downward displacement of the left lobe but little uptake in the mass. Histological findings of mediastinal biopsies were inconclusive. A large retrotracheal thyroid adenoma was easily excised through a right thoracotomy. The approach to diagnosis and, in cases of doubt, the safety of surgical access through thoracotomy for thyroid lesions in this unusual site is discussed.
- Published
- 1990
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