Abstract
Background: goiter is an abnormal enlargement of the thyroid gland. The thyroid gland is located in the anterior cervical region, and its growth can to extend into the thoracic region. Endothoracic goiter can generate compressive symptoms (dyspnea, dysphagia, and dysphonia) these are indications for surgery.
The case: a 55 years old male patient with long history of anterior cervical tumour, progressive growth, initially without discomfort, which accelerates in the last 6 years, producing dyspnea when lying down, and nuisances when swallowing. It does not present voice alteration or symptoms of thyroid hypoor hyperfunction.
Conclusion: the approach can be done by cervicotomy with a head and neck surgeon in charge, or along with a thoracic surgeon. Over 90% of goiters with endothoracic extension can be resolved by cervical approach. When dealing with a mediastinal goiter, a thoracic approach should be considered.
Received: 06/23/2021. Accepted: 11/20/2021
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright (c) 2021 Raúl Tornaco , Ana Alicia Benítez, Marcelo Villalba, Julio Rojas, Vidalia Cáceres, Carlos Mena