Trans-cervical resection of a separate substernal goitre.
Henry To, Antara Karmakar, Stephen Farrell, Steve Manolas
Int J Surg Case Rep | Published : 2017
INTRODUCTION: A separate substernal goitre which is not continuous with the main cervical thyroid proves a unique challenge for resection. A trans-cervical approach is preferred but may be hazardous due to the possibility of ectopic thyroid tissue with alternate blood supply. PRESENTATION OF CASE: A 72year old female who had a previous left hemithyroidectomy presents with a symptomatic central substernal thyroid mass. Following radiological work-up, the separate goitre was carefully removed via a trans-cervical approach and avoidance of sternotomy. She had a rapid recovery without complication. DISCUSSION: The anatomy and embryology of substernal masses need to be carefully considered partic..View full abstract