Document Detail

Large retrosternal goitre: a diagnostic and management dilemma.
MedLine Citation:
PMID:  16490399     Owner:  NLM     Status:  MEDLINE    
A substernal goitre is of clinical significance because its growth between the sternum anteriorly and vertebral bodies posteriorly leads to impingement on the surrounding structures and compressive symptoms. The incidence of substernal goitre is documented to vary between .02 and .5%. It accounts for 3-12% of mediastinal masses and is the most common superior mediastinal mass. This condition is important because it presents a diagnostic dilemma as its size and compressive symptoms mimic malignant disease, and an operative dilemma for the approach to its management. We present one of the largest reported retrosternal goitre cases in the literature.
Pallav J Shah; Tim Bright; Sanjay S Singh; Clayton M Lang; Marcus D Pyragius; Peter Malycha; James R Edwards
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2006-02-21
Journal Detail:
Title:  Heart, lung & circulation     Volume:  15     ISSN:  1443-9506     ISO Abbreviation:  Heart Lung Circ     Publication Date:  2006 Apr 
Date Detail:
Created Date:  2006-03-31     Completed Date:  2007-07-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100963739     Medline TA:  Heart Lung Circ     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  151-2     Citation Subset:  IM    
Department of Cardiac Surgery, Royal Adelaide Hospital, Adelaide, SA 5000, Australia.
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MeSH Terms
Dyspnea / diagnosis
Goiter, Substernal / radiography,  surgery*
Intubation, Intratracheal
Mediastinum / radiography,  surgery*,  ultrasonography
Respiratory Sounds / diagnosis
Thyroid Gland / radiography,  surgery*,  ultrasonography
Treatment Outcome

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