The Imminent Sign of SVC Syndrome Secondary to Retrosternal Goiter

2021 ◽  
Vol 21 (4) ◽  
pp. 118
Author(s):  
Sarrah Idrees ◽  
Sabaretnam Mayilvaganan
Keyword(s):  
Svc Syndrome ◽  
Retrosternal Goiter

Thyroidectomy in a patient with a giant multinodular nontoxic cervical retrosternal goiter

2020 ◽  
pp. 97-99
Author(s):  
U. V. Kukhtenko ◽  
O. A. Kosivtsov ◽  
L. A. Ryaskov ◽  
E. I. Abramian
Keyword(s):  
Surgical Treatment ◽  
Clinical Case ◽  
Clinical Signs ◽  
Disease Relapse ◽  
Cardiac Pathology ◽  
Nontoxic Goiter ◽  
Retrosternal Goiter

A clinical case of successful surgical treatment of a patient with a giant cervical retrosternal nontoxic goiter with severe cardiac pathology is presented. Thyroidectomy from cervical access without sternotomy was performed. At the follow-up examination 5 months after the operation, instrumental and clinical signs of disease relapse were not detected.

scholarly journals A rare case of ectopic retrosternal goiter

2020 ◽  
Author(s):  
Shen Leong Oh ◽  
Clement L. K. Chia ◽  
Oon Cheong Ooi ◽  
Vikram Sonawane ◽  
Anil D. Rao ◽  
...  
Keyword(s):  
Rare Case ◽  
Retrosternal Goiter

Bilateral Chylothorax Due to Retrosternal Goiter in a Patient with Non-Hodgkin's Lymphoma

2001 ◽  
Vol 18 (2) ◽  
pp. 153-158 ◽  
Author(s):  
David M. Vigushin ◽  
Marcus Simmgen ◽  
Edward S. Newlands ◽  
Barbara M. Southcott
Keyword(s):  
Hodgkin’S Lymphoma ◽  
Hodgkin's Lymphoma ◽  
Non Hodgkin’S Lymphoma ◽  
Bilateral Chylothorax ◽  
Non Hodgkin's Lymphoma ◽  
Retrosternal Goiter

scholarly journals Commentary: SVC syndrome: Venous stenting is the mainstay but may not stay open

2020 ◽  
Vol 4 ◽  
pp. 181-182
Author(s):  
Adam P. Johnson ◽  
Virendra Patel ◽  
Hiroo Takayama
Keyword(s):  
Venous Stenting ◽  
Svc Syndrome

Detection of a Tracheal Obstruction Caused by a Retrosternal Goiter by the Use of a Cuff Leak Test

2000 ◽  
Vol 90 (4) ◽  
pp. 1002 ◽  
Author(s):  
Torsten Meier ◽  
Thorsten Leibecke ◽  
Jan Schumacher ◽  
Klaus Berger ◽  
Karl F. Klotz
Keyword(s):  
Leak Test ◽  
Tracheal Obstruction ◽  
Retrosternal Goiter ◽  
Cuff Leak

scholarly journals Modern approaches to the treatment of retrosternal goiter

2021 ◽  
Vol 88 (1-2) ◽  
pp. 45-49
Author(s):  
V. V. Grubnik ◽  
R. S. Parfentiev ◽  
V. M. Kosovan ◽  
N. D. Parfentieva
Keyword(s):  
Massive Bleeding ◽  
Parathyroid Glands ◽  
Recurrent Nerve ◽  
Endoscopic Techniques ◽  
Results Of Treatment ◽  
Retrosternal Goiter ◽  
Duration Of Surgery ◽  
Group 3 ◽  
Group 2 ◽  
Standard Techniques

Objective. To analyze the results of treatment of patients with retrosternal goiter. Materials and methods. During the period from 2010 to 2019, 62 patients with thoracic goiter were operated on, which was 6.2% of all patients operated in relation to goiter. There were 48 women (77.4%) and 14 men (22.6%). Age of patients varied from 21 to 87 years (average age - 47 years). Computed tomography was mandatory in terms of research. The size of the sternal goiter and the degree of operative risk were determined by G. Mercante (2011). Results. In 39 patients (1st group) the operation was performed by cervicotomy according to standard techniques. Video endoscopic support was used in 23 patients, thanks to which in 15 patients (group 2) it was able to cross all blood vessels with the help of an electro coagulator and isolate nerve structures and parathyroid glands. In 8 patients (group 3) there was a massive bleeding after attempts of finger dissection. They underwent tamponade and temporarily stopped bleeding. After that, a video endoscope was inserted into the wound and hemostasis was performed with the help of an electrocoagulation. Bleeding from the surgical wound, which required revision, was not observed. Temporary tracheostomy in the postoperative period was imposed in 3 patients, later it was closed. Hypocalcemia occurred in 12 (19.3%) patients (in 11 it was transient). Transient paresis of the recurrent nerves was observed in 3 patients of the 1st, 2 of the 2nd and 2 of the 3rd groups. Permanent paresis of the recurrent nerve occurred in only 1 patient of the 3rd group. According to histological examination, 21 patients were diagnosed with cancer (19 - papillary, 2 - follicular). They subsequently underwent standard treatment for highly differentiated thyroid cancer. Conclusions. The use of cervical access with video endoscopic support during surgery for thoracic goiter avoids performing a sternotomy, reduces blood loss and operational trauma, improves the nerve structures and parathyroid glands identification, and reduces the duration of surgery. The use of modern methods of electrocoagulation significantly expands the capabilities of endoscopic techniques.

scholarly journals Cervical approach for retro-sternal goiter reaching the arch of aorta

2021 ◽  
Author(s):  
Mohamed Tarek Hafez ◽  
Mostafa M. Abdelmaksoud ◽  
Shadi Awny ◽  
Alaa Jamjoom ◽  
Abdullah Mashat ◽  
...  
Keyword(s):  
Total Thyroidectomy ◽  
Medical Center ◽  
Academic Medical Center ◽  
Thyroid Tissue ◽  
Median Sternotomy ◽  
Thoracic Inlet ◽  
Cervical Incision ◽  
Academic Medical ◽  
Retrosternal Goiter ◽  
Cervical Approach

Abstract Background: Although the retrosternal goiters are characterized by the protrusion of at least 50% of the thyroid tissue below the level of the thoracic inlet, their definite definition is still controversial. Total thyroidectomy for retrosternal goiter has a great challenge and mostly requires an experienced thyroid surgeon. Excision could be possible through a cervical incision in most cases, though Sternotomy remains an option. Patients and Methods: We report fourteen patients who presented to our academic medical center between 2016 and 2019 with large thyroid goiters and retrosternal extension proven by computerized tomography scan of the neck, presented in both Mansoura University Oncology Center, Egypt and East Jeddah Hospital, Saudi Arabia from 2016 to 2019. Results: Fourteen cases with retrosternal goiter been undergone total thyroidectomy through a cervical incision without the need for median sternotomy, although the thoracic surgeon was stand-by in three cases. Six patients were found to have a malignancy in the post-operative histopathological assessment.CONCLUSION: Surgical procedures for most all retrosternal goiters can be completed successfully using a cervical approach; however, a sternotomy is required in a small number of such patients.

Primary embryonal carcinoma of heart with SVC syndrome

2002 ◽  
Vol 10 (6) ◽  
pp. 647-649
Author(s):  
H Minami
Keyword(s):  
Embryonal Carcinoma ◽  
Svc Syndrome

scholarly journals Retrosternal goiter located in the mediastinum: surgical approach and operative difficulties

2012 ◽  
Vol 15 (5) ◽  
pp. 935-937 ◽  
Author(s):  
G. Kacprzak ◽  
J. Karas ◽  
A. Rzechonek ◽  
P. Blasiak
Keyword(s):  
Surgical Approach ◽  
Retrosternal Goiter
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