HYPOTHESIS Multinodular goiter (MG) with compression symptoms has a clinical profile different from that of goiter without these symptoms. The surgical treatment of MG with compression symptoms has a high rate of sternotomy and morbidity. DESIGN Retrospective study conducted between 1970 and 1999. SETTING Tertiary referral center. PATIENTS One hundred fifty-seven patients with MG with com...

Terms such as retrosternal, substernal, and intrathoracic have been used to define an extension of >50% the thyroid gland beyond thoracic inlet. The reported incidence retrosternal goiters is highly variable, ranging from 1% 45% thyroidectomies in studies with different defining criteria. Forgotten goiter lacks any parenchymatous or vascular connection cervical may represent remnants a partiall...

I svcs = superior vena cava syndrome I ntrathoracic extension of goiters usually causes a benign neck and mediastinal mass with morbid potential. ‘ These goiters can develop slowly and patients may be asymptomatic for many years. They may have some problems about diagnosis and anesthesia during surgery.’2 We present a patient with intrathoracic goiter complicated by hyperthyroidism, tracheal co...

The superior vena caval syndrome caused by a substernal thyroid is a rare occurrence. It can, however, result from external compression of the superior vena cava or innominate veins by an intrathoracic goiter. This report details such a case in which innominate vein occlusion was documented both by conventional venography and by a new technique utilizing a radionuclide (sodium pertechnetate 9#{...

The simple nodular goiter, the etiology of which is multifactorial, encompasses the spectrum from the incidental asymptomatic small solitary nodule to the large intrathoracic goiter, causing pressure symptoms as well as cosmetic complaints. Its management is still the cause of considerable controversy. The mainstay in the diagnostic evaluation is related to functional and morphological characte...

Background An intrathoracic goiter (ITG) is defined as a thyroid extension below the sternal notch. Compared to cervical goiters, surgery for ITG more challenging, with higher risk of an extracervical approach. Ultrasound (US)-guided radiofrequency ablation (RFA) minimally invasive treatment modality. The purpose this study was prospectively evaluate safety and efficacy RFA in patients ITG.Meth...