Department of Medicine, King George's Medical University, Uttar Pradesh, India
Case Report
Plunging Down the Neck-A Rare Case Report of a MNG with Retrosternal Extension
Author(s): Diksha Sharma*
A retrosternal goiter is defined as at least 50% of the thyroid
tissue located intrathoracically. They can be primary or
secondary, wherein primary retrosternal (1% of all
mediastinal goiters) that arise from accessory thyroid tissue
located in the chest. Primary retrosternal goiters are
supplied by intra thoracic blood vessels and do have any
connection to thyroid tissue in the neck. Secondary
mediastinal goitres arise from surgery, the treatment of
choice for retrosternal goiter. It may be sub sternal, wholly
intrathoracic or plunging i.e. intrathoracic but is forced into
the neck while coughing. Retrosternal goiter extending
beyond the aortic arch into the posterior mediastinum are
treated usually with sternotomy or lateral thoracotomy but
majority of retrosternal goiters can be resected through a
single cervical incision. Here, we report s.. View More»