Retrotracheal goiter: A diagnostic and therapeutic problem

Autor: Waldron, D., Coffey, J., Murphy, S., Bresnihan, E., Finnegan, P., Lynch, V.
Zdroj: The Annals of Thoracic Surgery; July 1990, Vol. 50 Issue: 1 p133-135, 3p
Abstrakt: 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.
Databáze: Supplemental Index