Journal Title: زمستان 87 Article title: The Report of a Rare Case of Posterior Mediastinal Multinudular Goiter
Article PDF File: Page From: 75 To: 79
Article abstract: Posterior mediastinal goiters are very rare and occur mostly due to the descent of a posterior lateraly enlarging inferior pole of the thyroid gland. Most patients refer with a cervical mass and symptoms due to compression or distortion of the trachea, esophagus, or superior vena cava. The diagnosis is done by Chest. X. Ray, cervical and thoracic computed tomography scan, and Barium esophagogram. Progrresive enlargement, risk of sudden hemorrhage within the thyroid gland causing respiratory impairment and the possibility of associated malignancy, make excision of the goiter mandatory. The routine approach to intrathoracic goiters is through cervical or cervicothoracic approach. Our patient was a 56 years old man who referred with dysphagia, dyspnea and pleatoric head and neck. Cervical and thoracic CT scan revealed a mass in the posterior mediastinum with the origin in right thyroid lobe. After routine investigation the patient was operated upon through cervical incision in which subtotal thyroidectomy with unblock resection of posterior mediastinal extension of thyroid was done.
