Tsukada H, Kojima K, Takeuchi S, Osada H
Department of Surgery (Division of Chest Surgery), St. Marianna University School of Medicine, Kanagawa, Japan.
Jpn J Thorac Cardiovasc Surg. 1999 Apr;47(4):174-7. doi: 10.1007/BF03217965.
A 65-year-old woman presented with stridor revealed a mass on a chest X-ray on physical examination. A huge goiter arising in the left lobe of the thyroid had extended retroesophageally and across the midline to the right side of the posterior mediastinum far caudally down to the level of the carina. The trachea was remarkably compressed. Surgery was performed via a combined thoracic and cervical approach, and the tumor was completely removed with resultant relief from stridor. The patient is presently doing well at 1 year after the operation.
一名65岁女性因喘鸣就诊，体格检查时胸部X线显示有肿块。甲状腺左叶出现巨大甲状腺肿，向后食管后延伸并越过中线至后纵隔右侧，远至尾侧至隆突水平。气管明显受压。通过胸颈联合入路进行手术，肿瘤被完全切除，喘鸣症状随之缓解。患者术后1年目前情况良好。
