Aim: To present a case of posterior mediastinal goiter successfully delivered through the neck approach. Background: Posterior mediastinal goiters are rare, comprising less than 10% of intrathoracic goiters. They usually manifest with compressive symptoms and warrant definitive surgery to relieve symptoms. Majority require the combined cervicothoracic approach to deal with the goiter. Technique: We intend to discuss a case of retrosternal goiter extending predominantly into the posterior mediastinum, which has been purely delivered by cervical incision. Conclusion: The above technique describes successful and safe extraction of the retrosternal goiter extending primarily into the posterior mediastinum via the cervical approach. Clinical significance: The compressive symptoms were completely resolved after surgical management, thus avoiding a morbid procedure like thoracotomy and its associated complications.
Ojanguren Arranz A, Baena Fustegueras JA, Ros López S, et al. Best approach for posterior mediastinal goiter removal: transcervical incision and lateral thoracotomy. Arch Bronconeumol 2014;50(6): 255–257. DOI: 10.1016/j.arbres.2013.09.009.
Gao B, Jiang Y, Zhang X, et al. Surgical treatment of large substernal thyroid goiter: analysis of 12 patients. Int J Clin Exp Med 2013;6(7):488–496.
Chen X, Xu H, Ni Y, et al. Complete excision of a giant thyroid goiter in posterior mediastinum. J Cardiothorac Surg 2013;8:207–209. DOI: 10.1186/1749-8090-8-207.
Allo MD, Thompson NW. Rationale for the operative management of substernal goiters. Surgery 1983;94(6):969–977.
McKenzie G, Rook W. Is it possible to predict the need for sternotomy in patients undergoing thyroidectomy with retrosternal extension? Interact Cardiovasc Thorac Surg 2014;19(1):139–143. DOI: 10.1093/icvts/ivu094.
Fujimoto K, Hara M, Tomiyama N, et al. Proposal for a new mediastinal compartment classification of transverse plane images according to the Japanese Association for Research on the Thymus (JART) General Rules for the Study of Mediastinal Tumors. Oncol Rep 2014;31(2): 565–572. DOI: 10.3892/or.2013.2904.
De Andrade MD. A review of 128 cases of posterior mediastinal goiter. World J Surg 1977;1(6):789–797. DOI: 10.1007/BF01555944.
Qureishi A, Garas G, Tolley N, et al. Can pre-operative computed tomography predict the need for a thoracic approach for removal of retrosternal goiter? Int J Surg 2013;11(3):203–208. DOI: 10.1016/j.ijsu.2013.01.006.
Kacprzak G, Karas J, Rzechonek A, et al. Retrosternal goiter located in the mediastinum: surgical approach and operative difficulties. Interact Cardiovasc Thorac Surg 2012;15(5):935–937. DOI: 10.1093/icvts/ivs339.
Khayat S, Al-Juaid A, Khorchid A, et al. Retrosternal goiter with posterior mediastinal extension surgery in a patient with superior vena cava obstruction through a classic neck incision: a case report. WebmedCentral Surgery 2015;6(5):WMC004890.
Dhaliwal RS, Puri D, Rana SS. Posterior mediastinal goiters: literature review and report of three cases. Asian Cardio Vasc Thorac Ann 1999;7:228–232. DOI: 10.1177/021849239900700315.
Samokhvalova A, Loberantb N, Makhoula N. Posterior mediastinal goiters: report of two cases and literature review. Respir Med Case Rep 2012;5:65–68. DOI: 10.1016/j.rmedc.2011.08.001.