title: [Substernal goiters: current diagnostic-therapeutic trends].
abstract: The Authors report their experience in the management of substernal goitres as classified by Dor, Carcassonne, Merlier and Eschapasse. Through a literature review an accurate identification of both symptomatologic features and diagnostic protocol is stressed. Surgical procedure is represented in the majority of cases by a nearly total thyroidectomy through a cervical approach. A median total sternotomy is the approach needed to assure the best exposure in case of retrovascular goitre.
authors.affiliation: Istituto di Patologia Chirurgica, Facoltà di Medicina e Chirurgia, Seconda Università degli Studi di Napoli.
authors.forename: C
authors.initials: C
authors.lastname: Caracò
authors.forename: G
authors.initials: G
authors.lastname: Conzo
authors.forename: G
authors.initials: G
authors.lastname: Candela
authors.forename: B
authors.initials: B
authors.lastname: Esposito
authors.forename: L
authors.initials: L
authors.lastname: Santini
mesh_terms: D000328:Adult; D000368:Aged; D003937:Diagnosis, Differential; D005260:Female; D006045:Goiter, Substernal / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D013965:Thyroidectomy