Retrosternal goitre involving the Zuckerkandl tubercle

Case contributed by Dr Chris O'Donnell

Presentation

Incidental finding in an elderly patient having CTPA

Patient Data

Age: 80
Gender: Female

Heterogeneous mass sitting posterior to the trachea and to the right of the oesophagus represents a multinodular goitre involving the accessory lobe of Zuckerkandl that has passed into the mediastinum.

Case Discussion

This is a typical finding and very important for the surgeon to recognise as the isthmus connection to the right lobe (usually seen arising on the right) is narrow and easily missed on dissection leaving a large mass of functioning thyroid tissue that can continue to grow leading to recurrence of compressive symptoms.

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Case information

rID: 28784
Case created: 11th Apr 2014
Last edited: 20th Nov 2015
System: Head & Neck
Inclusion in quiz mode: Included

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