Colossus in the thorax: the story of a giant subesternal goiter
DOI:
https://doi.org/10.53903/01212095.359Keywords:
Goiter substernal, Tomography, Thyroid hormones, Dyspnea, TracheaAbstract
Substernal goiter is a type of goiter in which the thyroid gland extends into the chest, below the sternal notch, protruding into the mediastinum and sometimes exerting pressure on adjacent structures. We present the case of a 70-year-old female patient who consulted the emergency
room for a 10-day history of dry cough and odynophagia, with no other associated symptoms. Physical examination revealed telangiectasias in the neck. She reported a history of hypothyroidism at the time of consultation. Imaging studies such as a chest X-ray and CT scan were performed,
which showed findings compatible with a substernal goiter.
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References
Huang WC, Huang CH, Hsu HS, et al. Intrathoracic goiter in elderly patients. International J Gerontol. 2013;7(1):8-12. https://doi.org/10.1016/j.ijge.2012.01.027
Maloof F, Wang CA, Vickery AL Jr. Nontoxic goiter-diffuse or nodular. Med Clin North Am. 1975;59(5):1221-32. https://doi.org/10.1016/s0025-7125(16)31970-8
Unlu MT, Aygun N, Kostek M, et al. Substernal goiter: From definitions to treatment. Sisli Etfal Hastan Tip Bul. 2022;56(2):167-76. https://doi.org/10.14744/semb.2022.30806
Iriarte MB, Morales EI, Velásquez M, et al. Giant intrathoracic goiter of atypical presentation: a case report. Clin Pathol. 2020;13. https://doi.org/10.1177/2632010X20916741
Rugiu MG, Piemonte M. Surgical approach to retrosternal goitre: do we still need sternotomy? Acta Otorhinolaryngol Ital. 2009;29(6):331-8. PMID: 20463839
Mack E. Management of patients with substernal goiters. Surg Clin North Am. 1995;75(3):377-94. https://doi.org/10.1016/s0039-6109(16)46628-4
Knobel M. An overview of retrosternal goiter. J Endocrinol Invest. 2021;44(4):679-91. https://doi.org/10.1007/s40618-020-01391-6
Mahajan MS, Digamber NS, Rajkumar S. Primary intrathoracic goiter: Incidental diagnosis on 99m-Tc pertechnetate radioisotope thyroid scan. Indian J Endocrinol Metab. 2012;16(6):1063-6. https://doi.org/10.4103/2230-8210.103047
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