title: Intratracheal growth of recurrent benign goiter.
abstract: BACKGROUND
  Intratracheal goiter manifestations caused by ectopic thyroid tissue have occasionally been reported. We report a 42-year-old female who had undergone thyroid surgery twice, which had caused unilateral recurrent laryngeal nerve palsy.
  
  
  CONCLUSIONS
  The patient presented with progressive dyspnea. Magnetic resonance imaging showed a recurrent goiter growing through the tracheal wall. She was treated in a multidisciplinary approach; at first she underwent transtracheal laser surgical removal of the intratracheal mass followed by conventional completion thyroidectomy and radioiodine remnant ablation. Thorough histological analysis did not find any signs of malignancy. Currently the patient is disease- and complaint free. As far as we could ascertain, no patient with a recurrent benign goiter growing through the tracheal wall has been reported before.
  
  
  CONCLUSIONS
  Recurrent benign goiter with intratracheal growth is extremely rare and requires a multidisciplinary approach.
authors.affiliation: Department of Nuclear Medicine, University of Würzburg, Würzburg, Germany. verburg_e@klinik.uni-wuerzburg.de
authors.forename: Frederik A
authors.initials: FA
authors.lastname: Verburg
authors.forename: Martin
authors.initials: M
authors.lastname: Gasser
authors.forename: Matthias
authors.initials: M
authors.lastname: Beissert
authors.forename: Eva
authors.initials: E
authors.lastname: Geissinger
authors.forename: Markus
authors.initials: M
authors.lastname: Luster
authors.forename: Christoph
authors.initials: C
authors.lastname: Reiners
mesh_terms: D000328:Adult; D002828:Choristoma / Q000601:surgery*; D005260:Female; D006042:Goiter / Q000175:diagnosis; D006801:Humans; D008279:Magnetic Resonance Imaging; D011183:Postoperative Complications / Q000601:surgery; D012008:Recurrence; D013961:Thyroid Gland; D013965:Thyroidectomy / Q000009:adverse effects; D014133:Tracheal Diseases / Q000175:diagnosis / Q000601:surgery*; D014826:Vocal Cord Paralysis / Q000209:etiology