Surgical management of a substernal goiter

Liang Shun Wang

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Substernal goiter can be classified as primary or secondary, depending on the site of origin. Primary substernal goiters (<1% of substernal goiters), also known as mediastinal aberrant goiters, arise from ectopic thyroid tissue in the mediastinum, and receive their blood supply from intrathoracic arteries instead of thyroid arteries. A secondary substernal goiter is defined as one that has descended from the neck to the plane below the thoracic inlet, or one that has more than 50% of its mass lying inferior to the thoracic inlet. Surgical resection should be considered even for elderly patients because of the risks of mass compression symptoms (e.g., dyspnea and dysphasia), malignancy, and low morbidity of surgery. Most of the primary substernal goiters can be resected through the cervical approach. In most instances, sternotomy or thoracotomy is needed only in cases of previous cervical thyroidectomy, invasive carcinoma, or ectopic goiter.

Original languageEnglish
Pages (from-to)41-44
Number of pages4
JournalFormosan Journal of Surgery
Volume45
Issue number2
DOIs
Publication statusPublished - Apr 2012

Fingerprint

Substernal Goiter
Goiter
Thorax
Arteries
Thyroid Dysgenesis
Choristoma
Sternotomy
Aphasia
Thyroidectomy
Mediastinum
Thoracotomy
Dyspnea
Thyroid Gland
Neck
Morbidity
Carcinoma
Neoplasms

Keywords

  • Goiter
  • Intrathoracic
  • Substernal

ASJC Scopus subject areas

  • Surgery

Cite this

Surgical management of a substernal goiter. / Wang, Liang Shun.

In: Formosan Journal of Surgery, Vol. 45, No. 2, 04.2012, p. 41-44.

Research output: Contribution to journalArticle

Wang, Liang Shun. / Surgical management of a substernal goiter. In: Formosan Journal of Surgery. 2012 ; Vol. 45, No. 2. pp. 41-44.
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