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Int Surg. 2000 Jul-Sep;85(3):194-7.

Surgical treatment of substernal goiter.

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1
Department of Surgery, Faculty of Medicine, Hacettepe University, Ankara, Turkey.

Abstract

BACKGROUND:

Substernal goiter differs from its cervical counterpart in regard to its clinical presentation, surgical management, pathological analysis and postoperative complication.

METHODS:

Retrospective analysis of 1320 thyroidectomies performed at the Hacettepe University Hospital between 1990 and 1997.

RESULTS:

30 (2.3%) of 1320 thyroidectomies underwent operation for removal of substernal goiters in an 8-year period. The most common symptom was cervical mass (67%) and 33% of the patients were asymptomatic. Computerised tomography was the most accurate pre-operative test for detecting substernal extension. Substernal goiters were removed by collar incisions in 93% of the cases. The pathology was generally found to be benign (94%), but follicular carcinoma was present in two (6%) patients. There was no mortality and no complications were observed in 73% of the patients.

CONCLUSIONS:

The presence of substernal goiter is an indication for removal given the lack of any effective medical therapy, low surgical morbidity, risk of malignancy and acute obstructing symptoms.

PMID:
11324994
[Indexed for MEDLINE]

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