Goitre - gigantic

Case contributed by Dr Ian Bickle

Presentation

Female with long standing neck mass, only self declared to medical facility. Islamic society with hijab, so socially neck covered.

Patient Data

Age: 55
Gender: Female
X-ray

Localised from CT study ( analagous to a plain film )

Massive anterior neck mass with some calcific components extending from the submandibular region to the root of the neck.

CT

Huge heterogenous thyroid mass with some areas of dense focal calcification.

The mass extends from the mandibular angle to the retrosternal space on the left.

Trachea displaced to the right and anteriorly, but only mildly compressed.

Case Discussion

Thyroid goitres are common, however one of this size is rarer.

The enourmity of this goitre was in part due to the patient presenting late, having been able to 'hide' it under her hijab, wore for cultural and religious purposes.

The goitre was histologically benign on FNAC.

PlayAdd to Share

Case information

rID: 37423
Case created: 8th Jun 2015
Last edited: 11th Sep 2015
System: Head & Neck
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.