Shah Pallav J, Bright Tim, Singh Sanjay S, Lang Clayton M, Pyragius Marcus D, Malycha Peter, Edwards James R
Department of Cardiac Surgery, Royal Adelaide Hospital, Adelaide, SA 5000, Australia.
Heart Lung Circ. 2006 Apr;15(2):151-2. doi: 10.1016/j.hlc.2005.10.011. Epub 2006 Feb 21.
A substernal goitre is of clinical significance because its growth between the sternum anteriorly and vertebral bodies posteriorly leads to impingement on the surrounding structures and compressive symptoms. The incidence of substernal goitre is documented to vary between .02 and .5%. It accounts for 3-12% of mediastinal masses and is the most common superior mediastinal mass. This condition is important because it presents a diagnostic dilemma as its size and compressive symptoms mimic malignant disease, and an operative dilemma for the approach to its management. We present one of the largest reported retrosternal goitre cases in the literature.
胸骨后甲状腺肿具有临床意义，因为它在前方的胸骨和后方的椎体之间生长，会导致对周围结构的压迫并出现压迫症状。据记载，胸骨后甲状腺肿的发病率在0.02%至0.5%之间。它占纵隔肿块的3%至12%，是最常见的上纵隔肿块。这种情况很重要，因为它带来了诊断难题，其大小和压迫症状类似恶性疾病，同时在治疗方法上也存在手术难题。我们呈现了文献中报道的最大的胸骨后甲状腺肿病例之一。
