Successful combined surgical approach in a rare case of retrotracheal goitre in a patient with anatomical impediments

• Autorzy: Spartalis E. , Damaskos C. , Moris D. , Athanasiou A. , Spartalis M. , Karagkiouzis G. , Schizas D. , Dimitroulis D. , Tomos P.
• Języki publikacji: EN

Abstrakty

EN

Diving goitres can descend the cervical region expanding directly into the thoracic cavity. In most cases, diving goitres extend into the anterosuperior compartment, but they may also extend behind the trachea. We herein present a case of a male patient with retrotracheal goitre and history of left thyroid lobectomy and median sternotomy for thoracic aortic aneurysm repair with graft placement. After detailed preoperative evaluation, the patient underwent surgical resection of the mass through a combined approach; the existing cervical incision and a right posterolateral mini-thoracotomy. The postoperative course of the patient was uncomplicated. One year after surgery, the patient is asymptomatic and disease-free. (Folia Morphol 2018; 77, 1: 166–169)

• Wydawca: -
• Czasopismo: Folia Morphologica
• Rocznik: 2018
• Tom: 77
• Numer: 1
• Opis fizyczny: p.166-169,fig.,ref.

Twórcy

autor

Spartalis E.

• 2nd Department of Propaedeutic Surgery, University of Athens Medical School, Athens, Greece

autor

Damaskos C.

• 2nd Department of Propaedeutic Surgery, University of Athens Medical School, Athens, Greece

autor

Moris D.

• Department of Surgery, The Ohio State University Comprehensive Cancer Centre, the Ohio State University, Columbus, OH, United States

autor

Athanasiou A.

• Department of Surgery, Mercy University Hospital, Cork, Ireland

autor

Spartalis M.

• 2nd Department of Propaedeutic Surgery, University of Athens Medical School, Athens, Greece

autor

Karagkiouzis G.

• Department of Thoracic Surgery, University of Athens Medical School, Athens, Greece

autor

Schizas D.

• 1st Department of Surgery, University of Athens Medical School, Athens, Greece

autor

Dimitroulis D.

• 2nd Department of Propaedeutic Surgery, University of Athens Medical School, Athens, Greece

autor

Tomos P.

• Department of Thoracic Surgery, University of Athens Medical School, Athens, Greece

Bibliografia

• 1. Burns P, Doody J, Timon C. Sternotomy for substernal goitre: an otolaryngologist’s perspective. J Laryngol Otol. 2008; 122(5): 495–499, doi:10.1017/S0022215107000047, indexed in Pubmed: 17623491.
• 2. Chong CF, Cheah WK, Sin FL, et al. Posterior mediastinal goiter. Asian Cardiovasc Thorac Ann. 2004; 12(3): 263–265, doi:10.1177/021849230401200319, indexed in Pubmed: 15353470.
• 3. Cohen J, Cho H. Surgery for substernal goiters. Oper Techn Otolaryngol Head Neck Surg. 1994; 5(2): 118–125, doi: 10.1016/1043-1810(94)90045-0.
• 4. Cohen J. Substernal goiters and sternotomy. Laryngoscope. 2009; 119(4): 683–688, doi: 10.1002/lary.20102.
• 5. Cougard P, Matet P, Goudet P, et al. Les goitres plongeants: 218 cas operes. Ann Endocrinol (Paris). 1992; 53: 230–235.
• 6. Dahan M, Gaillard J, Eschapasse H. Surgical treatment of goiters with intrathoracic development. In: Delarue M (ed) International trends in general thoracic surgery. Thoracic Surgery: Frontiers and uncommon neoplasms. Mosby, St Louis, Volume 5. 1989; 240: 246.
• 7. de Perrot M, Fadel E, Mercier O, et al. Surgical management of mediastinal goiters: when is a sternotomy required? Thorac Cardiovasc Surg. 2007; 55(1): 39–43, doi: 10.1055/s-2006-924440, indexed in Pubmed: 17285472.
• 8. De Souza, Smith PE. Retrosternal goiter. J Otolaryngol. 1983; 12: 393–396.
• 9. Flati G, De Giacomo T, Porowska B, et al. Surgical management of substernal goitres. When is sternotomy inevitable? Clin Ter. 2005; 156(5): 191–195, indexed in Pubmed: 16382967.
• 10. Hashmi SM, Premachandra DJ, Bennett AMD, et al. Management of retrosternal goitres: results of early surgical intervention to prevent airway morbidity, and a review of the English literature. J Laryngol Otol. 2006; 120(8): 644–649, doi: 10.1017/S0022215106000995, indexed in Pubmed: 16884549.
• 11. Huins CT, Georgalas C, Mehrzad H, et al. A new classification system for retrosternal goitre based on a systematic review of its complications and management. Int J Surg. 2008; 6(1): 71–76, doi: 10.1016/j.ijsu.2007.02.003, indexed in Pubmed: 17416216.
• 12. Monchik JM, Materazzi G. The necessity for a thoracic approach in thyroid surgery. Arch Surg. 2000; 135(4): 467–71; discussion 471, indexed in Pubmed:10768714.
• 13. Sancho JJ, Kraimps JL, Sanchez-Blanco JM, et al. Increased mortality and morbidity associated with thyroidectomy for intrathoracic goiters reaching the carina tracheae. Arch Surg. 2006; 141(1): 82–85, doi: 10.1001/archsurg.141.1.82, indexed in Pubmed: 16415416.
• 14. Shahian DM, Rossi RL. Posterior mediastinal goiter. Chest. 1988; 94(3): 599–602, indexed in Pubmed: 3409742.
• 15. Spartalis ED, Karatzas T, Charalampoudis P, et al. Neglected papillary thyroid carcinoma seven years after initial diagnosis. Case Rep Oncol Med. 2013; 2013: 148973, doi: 10.1155/2013/148973, indexed in Pubmed: 23401818.
• 16. Vadasz P, Kotsis L. Surgical aspects of 175 mediastinal goiters. Eur J Cardiothorac Surg. 1998; 14(4): 393–397, indexed in Pubmed: 9845144.
• 17. White ML, Doherty GM, Gauger PG. Evidence-based surgical management of substernal goiter. World J Surg. 2008; 32(7): 1285–1300, doi:10.1007/s00268-008-9466-3, indexed in Pubmed: 18266028.

Identyfikatory

DOI

10.5603/FM.a2017.0072