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(Chest. 1995;108:78-82.)
© 1995 American College of Chest Physicians

Retrosternal Goiter

Shahar Madjar MD1 and Dov Weissberg MD, FCCP1

1 From the Department of Surgery, Tel Aviv University Sackler School of Medicine, and the Edith Wolfson Medical Center, Holon, Israel

Background: Retrosternal goiter is a common cause of compression of adjacent structures, and it may harbor cancer.

Methods: During a 22-year period, we treated 44 patients with intrathoracic multinodular goiter.

Results: The goiter was resected in 40 patients; 4 patients were rejected because of prohibitive risk. There were three minor complications and no deaths.

Conclusions: The specific indications for resection include compression of adjacent structures, prevention of future complications, and obtaining a diagnosis. Fine-needle aspiration for diagnosis is not always possible and rarely reliable, and there is no effective medical therapy. Cervical incision is nearly always adequate, with few exceptions, such as very large posterior goiter, mediastinal blood supply, or carcinoma necessitating mediastinal dissection.

Key Words: intrathoracic goiter • retrosternal goiter • substernal goiter

Submitted on August 29, 1994
Accepted on September 27, 2007




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