Posterior mediastinal goiter.
A patient with chronic cough and recent dysphagia was found to have a retrotracheal mass extending into the mediastinum on chest radiography. A computed tomographic scan confirmed a retrotracheal posterosuperior mediastinal lesion which was believed to have a neurogenic origin. A thyroid 131I scan revealed no uptake of tracer in the chest and results of thyroid function tests were normal. A large retrotracheal colloidal nodular goiter was excised through a right thoracotomy. The diagnostic approach and the safety of surgical access by thoracotomy for thyroid lesions in this unusual site are discussed.
Gülmez
I
I
Department of Chest Disease, Medical Faculty, Erciyes University, Kayseri, Turkey.
Oğuzkaya
F
F
Bilgin
M
M
Oymak
S
S
Demir
R
R
Ozesmi
M
M
D006045:Goiter, Substernal / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D008482:Mediastinum / Q000000981:diagnostic imaging; D008875:Middle Aged; D011877:Radionuclide Imaging; D014057:Tomography, X-Ray Computed