Ferreira Henrique C, Diniz Carolina P, Guimarães Bernardo R, Camargo Neto João Bosco L, Rezende Guilherme C
Medicine and Surgery, Universidade de Brasília (UnB), Brasília, BRA.
Thoracic Surgery, Universidade de Brasília (UnB), Brasília, BRA.
Cureus. 2024 Jan 9;16(1):e51967. doi: 10.7759/cureus.51967. eCollection 2024 Jan.
Substernal goiter is a rare presentation of goiter but relatively frequent cause of anterior mediastinal mass. Symptomatic patients should be treated surgically with a total or partial thyroidectomy via a cervical or thoracic approach. This case report of a woman with a large symptomatic substernal goiter illustrates how the option to perform a partial median sternotomy may be useful when attempting a cervical approach. This allows for better visualization and resection of large masses and minimizes the risk of complications such as recurrent laryngeal nerve injury. Furthermore, it reinforces that cases of substernal goiter should be treated at specialized centers in order to minimize complications and reach better patient outcomes.
胸骨后甲状腺肿是甲状腺肿的一种罕见表现，但却是前纵隔肿块相对常见的病因。有症状的患者应通过颈部或胸部入路进行甲状腺全切除术或部分切除术的手术治疗。本病例报告了一名患有巨大有症状胸骨后甲状腺肿的女性，说明了在尝试颈部入路时，选择进行部分正中胸骨切开术可能是有用的。这有助于更好地观察和切除大肿块，并将喉返神经损伤等并发症的风险降至最低。此外，它强调胸骨后甲状腺肿病例应在专科中心进行治疗，以尽量减少并发症并取得更好的患者预后。
