| CT cross-sectional imaging classification system for substernal goiter based on risk factors for an extracervical surgical approach. | |
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MedLine Citation:
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PMID: 20737483 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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BACKGROUND: The purpose of this study was to identify risk factors for surgical extracervical approach in patients with substernal goiter. We used a novel classification system based on CT scan cross-sectional imaging (CSI) reconstruction. METHODS: Medical records of 4297 patients with thyroid disease operated on at our department were reviewed. A CSI classification system defined substernal goiter in the cranio-caudal dimension as: grade 1 (above aortic arch), grade 2 (level of aortic arch), and grade 3 (below aortic arch); in the anteroposterior dimension as type A (prevascular), type B (retrovascular-paratracheal), and type C (retrotracheal); in the latero-lateral dimension as: monolateral or bilateral. RESULTS: The prevalence of substernal goiter was 222 of 4297 cases (5.1%). Fifteen of 222 cases (6.7%) required an extracervical approach due to grade ≥2 and/or type C substernal goiter (14 of 15 cases). Ten of 15 patients had malignancy. CONCLUSION: The CT-CSI classification system allows us to identify risk factors for extracervical surgical approach in substernal goiter. They are grade ≥2, type C substernal goiter, and malignancy. © 2010 Wiley Periodicals, Inc. Head Neck, 2011. |
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Authors:
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Giuseppe Mercante; Enrico Gabrielli; Corrado Pedroni; Debora Formisano; Laura Bertolini; Franco Nicoli; Roberto Valcavi; Verter Barbieri |
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Publication Detail:
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Type: Journal Article Date: 2010-08-24 |
Journal Detail:
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Title: Head & neck Volume: 33 ISSN: 1097-0347 ISO Abbreviation: Head Neck Publication Date: 2011 Jun |
Date Detail:
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Created Date: 2011-05-11 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8902541 Medline TA: Head Neck Country: United States |
Other Details:
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Languages: eng Pagination: 792-9 Citation Subset: IM |
Copyright Information:
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Copyright © 2010 Wiley Periodicals, Inc. |
Affiliation:
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Department of Otolaryngology, Arcispedale Santa Maria Nuova, Reggio Emilia, Italy. mercante.giuseppe@gmail.com. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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