Retrosternal goitre

Case contributed by Dr Ahmed Abd Rabou

Presentation

Neck swelling associated with dyspnea and palpitation

Patient Data

Age: 45 years old
Gender: Female
CT

Both thyroid lobes are enlarged more on the left side which extends downward to abut the aortic arch. Multiple cystic areas and calcification within.

The gland extends retrosternally on the left side.

Mild external compression and displacement of the trachea.

Case Discussion

Retrosternal or substernal goitres are extensions of a thyroid goitre behind the manubrium sterni. This type of goitre is associated with tracheal and esophageal compression and during surgery may result in injury to the recurrent laryngeal nerve and vocal fold paralysis.

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Case information

rID: 26350
Case created: 15th Dec 2013
Last edited: 11th Dec 2015
System: Head & Neck
Inclusion in quiz mode: Included

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