Delayed presentation of forgotten thyroid goiter - 25 years after thyroidectomy
Fazal Wahab, Khan; Ayesha, Muhammad; Mohsin, Abbas; Syed Usman, Bin Mahmood; Benish, Fatima; Saulat H., Fatimi.
JCPSP-Journal of the College of Physicians and Surgeons Pakistan. 2016; 26 (10): 858-860
en Inglés
| IMEMR | ID: emr-184570
Forgotten goiter is a rare occurrence [2 - 16% of retrosternal thyroid cases] that depicts recurrence of retrosternal thyroid mass due to growth of remnant thyroid tissue overlooked during an initial thyroidectomy. The patient is a 59-year female who presented with dyspnea and stridor 25 years after total thyroidectomy. She was diagnosed as having a mediastinal mass on radiographic imaging. There were only localized pressure symptoms due to mass effect. The mass was excised employing an extra-cervical approach and using a partial sternotomy. The profuse extension of thyroid tissue, adherent to vital structures in the thorax and the extra-cervical thyroidectomy was a novel experience. The mass was completely excised and the patients symptoms alleviated after the surgery. The patient recovered without any complications and there was no recurrence at 1 year of follow-up
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