Substernal Thyroid Masses

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Substernal thyroid masses.

A thyroid mass, most often a non toxic colloid goiter or occasionally an adenoma, is not an unusual finding below the level of the thoracic inlet.1 In 1992 Creswell and Wells estimated that these tumors comprise 5.8% of all mediastinal lesions.1 There is no standard definition for thyroid glands extending below the thoracic inlet, but such masses descend from their original cervical location fo...

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Substernal thyroid biopsy using Endobronchial Ultrasound-guided Transbronchial Needle Aspiration.

Substernal thyroid goiter (STG) represents about 5.8% of all mediastinal lesions(1). There is a wide variation in the published incidence rates due to the lack of a standardized definition for STG. Biopsy is often required to differentiate benign from malignant lesions. Unlike cervical thyroid, the overlying sternum precludes ultrasound-guided percutaneous fine needle aspiration of STG. Consequ...

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Large Substernal Thyroid Goiter Associated with Saddle Pulmonary Embolism

A 75-year-old woman with a longstanding history of a substernal thyroid goiter presented with acute shortness of breath, and she was intubated due to respiratory distress. Computed tomography (CT) scan revealed a compressive substernal goiter with associated vascular compression, axillosubclavian thrombosis, and saddle pulmonary embolism. Weight-based heparin was immediately administered, and t...

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Cervico-mediastinal thyroid masses - our experience.

INTRODUCTION Over the last decades, several definitions and classifications of cervico-mediastinal goiters and thyroid masses have been proposed. We analyze and discuss the clinical presentation, the diagnostic procedures and the surgical technique in relation to post-operative complications and results in cervico-mediastinal thyroid masses admitted in our Clinic of Thoracic Surgery over a peri...

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Surgical Approaches to Retrosternal Tumours of the Thyroid

Though surgery is the undisputed choice of treatment for large substernal masses of the thyroid gland, the debate focuses on the ideal choice between a transcervical approach and a sternotomy approach. The cervical route is appropriate for most of the substernal thyroid masses. The present manuscript will discuss both the surgical approaches in detail.

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ژورنال

عنوان ژورنال: Oman Medical Journal

سال: 2010

ISSN: 1999-768X,2070-5204

DOI: 10.5001/omj.2010.90