Substernal goiter: Experience with 50 cases
| Autor: | Mohammed Roubal, M. Abou-elfadl, M. Benbakh, S. Rouadi, Redallah Abada, Mohammed Mahtar |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Goiter 030230 surgery Malignancy Young Adult 03 medical and health sciences 0302 clinical medicine Epidemiology medicine Edema Humans Thyroid Neoplasms Aged Retrospective Studies business.industry Substernal goiter Thyroid Mediastinum Endoscopy Retrospective cohort study Middle Aged medicine.disease Surgery Morocco medicine.anatomical_structure Otorhinolaryngology Cervical lymph nodes Goiter Substernal 030220 oncology & carcinogenesis Thyroidectomy Female business Vocal Cord Paralysis |
| Zdroj: | European Annals of Otorhinolaryngology, Head and Neck Diseases. 133(1):19-22 |
| ISSN: | 1879-7296 |
| DOI: | 10.1016/j.anorl.2015.09.007 |
| Popis: | Introduction Goiter is localized or generalized thyroid hypertrophy. It is usually cervical, but may show intra-thoracic development beyond the thoracic inlet and down to the mediastinum: i.e., substernal goiter. The purpose of this study was to analyze the epidemiological, clinical and paraclinical profile of substernal goiter and the difficulties of management. Material and methods A retrospective study included 50 cases from our ENT department. Results Mean age was 47 years, with a sex ratio of 0.06. Clinical symptomatology was dominated by medial anterior cervical swelling. Compression signs were observed in 26 patients, and cervical lymph nodes in 3. Mean time to consultation was 7 years. Fiberoptic endoscopy found vocal cord palsy in 3 patients. Cervical ultrasonography was the first-line diagnostic test. Cervical-thoracic CT scan was requested in 45 patients to study thoracic extension and the relation of the thyroid mass with the supra-aortic vascular axes. Treatment systematically comprised total thyroidectomy on a cervical approach. There were 6 cases of malignancy. Discussion-conclusion Substernal goitre is fairly frequent. Despite particularities, an exclusively cervical approach is sufficient in a large majority of cases. The substernal nature of the goitre did not have major impact on postoperative complications. |
| Databáze: | OpenAIRE |
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