Saha S P, Rogers A G, Earle G F, Nachbauer C, Baker M
Division of Thoracic & Cardiovascular Surgery, Central Baptist Hospital, Lexington, KY, USA.
J Ky Med Assoc. 1997 Oct;95(10):421-3.
Intrathoracic goiter is a rare clinical entity. This goiter can develop slowly and the patient may be asymptomatic for many years. A significant number of these patients, however, may develop various complications as a result of compression of vital structures or malignancy. In this report, the surgical management of 18 cases of intrathoracic goiter are reviewed. Six of the patients underwent right thoracotomy with resection of the posterior mediastinal goiter. The remaining 12 patients had their tumor removed via median sternotomy. There were no surgical deaths within this series. Although the incidence of intrathoracic tumor is limited, the threat of malignancy and compressive symptoms clearly indicates the need for surgical excision. Our group recommends thoracotomy and median sternotomy for surgical excision.
胸内甲状腺肿是一种罕见的临床病症。这种甲状腺肿生长缓慢，患者可能多年无症状。然而，相当一部分此类患者可能因重要结构受压或恶变而出现各种并发症。在本报告中，回顾了18例胸内甲状腺肿的手术治疗情况。其中6例患者接受了右胸切开术，切除后纵隔甲状腺肿。其余12例患者通过正中胸骨切开术切除肿瘤。该系列中无手术死亡病例。尽管胸内肿瘤的发病率有限，但恶变和压迫症状的威胁明确表明需要手术切除。我们团队推荐采用胸切开术和正中胸骨切开术进行手术切除。
