Il gozzo cervicomediastinico

Girolamo Geraci, Giuseppe Modica, Carmelo Sciume', Franco Pisello, Tiziana Facella

Risultato della ricerca: Article

5 Citazioni (Scopus)

Abstract

INTRODUCTION: Aim of the study is to discuss the diagnostic and therapeutic problems of substernal goiter (SG).MATERIALS AND METHODS: The Authors retrospectively analyzed 12 patients (3.1%) with substernal goiters among 379 patients undergoing surgical treatment for thyroid diseases from January 2000 to 2005, and evaluated the clinical data, preoperative diagnostic findings, surgical treatments, histopathological results, and postoperative complications.RESULTS: The most common symptoms were a cervical mass (100%) and dyspnea (16%), but 50% of the patients were asymptomatic. Chest radiography provided the first evidence of a substernal goiter in 100% of the patients. The AA performed total thyroidectomy and operated through a cervical incision in all the patients. There was operative mortality (1 case: = 8%), 2 (16%) patients suffered temporary hypoparathyroidism; no patients suffered transient vocal cord paralysis. Malignancy was diagnosed by histopathological examination in 2 patients (16%).CONCLUSIONS: The presence of a substernal goiter is considerd as a sole indication for surgery. Surgical treatment of SG requires a diagnosis that exactly defines the extent of the lesion. A correct choice of surgical access and scrupulous operating technique are likewise of paramount importance to reduce the risk of severe compressive complications. Most retrosternal goiters can be resected through an entirely cervical approach with a low complication rate. On rare occasions a median sternotomy or a sternal split will be required to permit a safe and complete thyroidectomy.
Lingua originaleItalian
pagine (da-a)517-522
Numero di pagine6
RivistaANNALI ITALIANI DI CHIRURGIA
Volume76
Stato di pubblicazionePublished - 2005

All Science Journal Classification (ASJC) codes

  • Surgery

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Il gozzo cervicomediastinico. / Geraci, Girolamo; Modica, Giuseppe; Sciume', Carmelo; Pisello, Franco; Facella, Tiziana.

In: ANNALI ITALIANI DI CHIRURGIA, Vol. 76, 2005, pag. 517-522.

Risultato della ricerca: Article

Geraci, G, Modica, G, Sciume', C, Pisello, F & Facella, T 2005, 'Il gozzo cervicomediastinico', ANNALI ITALIANI DI CHIRURGIA, vol. 76, pagg. 517-522.
Geraci, Girolamo ; Modica, Giuseppe ; Sciume', Carmelo ; Pisello, Franco ; Facella, Tiziana. / Il gozzo cervicomediastinico. In: ANNALI ITALIANI DI CHIRURGIA. 2005 ; Vol. 76. pagg. 517-522.
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abstract = "INTRODUCTION: Aim of the study is to discuss the diagnostic and therapeutic problems of substernal goiter (SG).MATERIALS AND METHODS: The Authors retrospectively analyzed 12 patients (3.1{\%}) with substernal goiters among 379 patients undergoing surgical treatment for thyroid diseases from January 2000 to 2005, and evaluated the clinical data, preoperative diagnostic findings, surgical treatments, histopathological results, and postoperative complications.RESULTS: The most common symptoms were a cervical mass (100{\%}) and dyspnea (16{\%}), but 50{\%} of the patients were asymptomatic. Chest radiography provided the first evidence of a substernal goiter in 100{\%} of the patients. The AA performed total thyroidectomy and operated through a cervical incision in all the patients. There was operative mortality (1 case: = 8{\%}), 2 (16{\%}) patients suffered temporary hypoparathyroidism; no patients suffered transient vocal cord paralysis. Malignancy was diagnosed by histopathological examination in 2 patients (16{\%}).CONCLUSIONS: The presence of a substernal goiter is considerd as a sole indication for surgery. Surgical treatment of SG requires a diagnosis that exactly defines the extent of the lesion. A correct choice of surgical access and scrupulous operating technique are likewise of paramount importance to reduce the risk of severe compressive complications. Most retrosternal goiters can be resected through an entirely cervical approach with a low complication rate. On rare occasions a median sternotomy or a sternal split will be required to permit a safe and complete thyroidectomy.",
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T1 - Il gozzo cervicomediastinico

AU - Geraci, Girolamo

AU - Modica, Giuseppe

AU - Sciume', Carmelo

AU - Pisello, Franco

AU - Facella, Tiziana

PY - 2005

Y1 - 2005

N2 - INTRODUCTION: Aim of the study is to discuss the diagnostic and therapeutic problems of substernal goiter (SG).MATERIALS AND METHODS: The Authors retrospectively analyzed 12 patients (3.1%) with substernal goiters among 379 patients undergoing surgical treatment for thyroid diseases from January 2000 to 2005, and evaluated the clinical data, preoperative diagnostic findings, surgical treatments, histopathological results, and postoperative complications.RESULTS: The most common symptoms were a cervical mass (100%) and dyspnea (16%), but 50% of the patients were asymptomatic. Chest radiography provided the first evidence of a substernal goiter in 100% of the patients. The AA performed total thyroidectomy and operated through a cervical incision in all the patients. There was operative mortality (1 case: = 8%), 2 (16%) patients suffered temporary hypoparathyroidism; no patients suffered transient vocal cord paralysis. Malignancy was diagnosed by histopathological examination in 2 patients (16%).CONCLUSIONS: The presence of a substernal goiter is considerd as a sole indication for surgery. Surgical treatment of SG requires a diagnosis that exactly defines the extent of the lesion. A correct choice of surgical access and scrupulous operating technique are likewise of paramount importance to reduce the risk of severe compressive complications. Most retrosternal goiters can be resected through an entirely cervical approach with a low complication rate. On rare occasions a median sternotomy or a sternal split will be required to permit a safe and complete thyroidectomy.

AB - INTRODUCTION: Aim of the study is to discuss the diagnostic and therapeutic problems of substernal goiter (SG).MATERIALS AND METHODS: The Authors retrospectively analyzed 12 patients (3.1%) with substernal goiters among 379 patients undergoing surgical treatment for thyroid diseases from January 2000 to 2005, and evaluated the clinical data, preoperative diagnostic findings, surgical treatments, histopathological results, and postoperative complications.RESULTS: The most common symptoms were a cervical mass (100%) and dyspnea (16%), but 50% of the patients were asymptomatic. Chest radiography provided the first evidence of a substernal goiter in 100% of the patients. The AA performed total thyroidectomy and operated through a cervical incision in all the patients. There was operative mortality (1 case: = 8%), 2 (16%) patients suffered temporary hypoparathyroidism; no patients suffered transient vocal cord paralysis. Malignancy was diagnosed by histopathological examination in 2 patients (16%).CONCLUSIONS: The presence of a substernal goiter is considerd as a sole indication for surgery. Surgical treatment of SG requires a diagnosis that exactly defines the extent of the lesion. A correct choice of surgical access and scrupulous operating technique are likewise of paramount importance to reduce the risk of severe compressive complications. Most retrosternal goiters can be resected through an entirely cervical approach with a low complication rate. On rare occasions a median sternotomy or a sternal split will be required to permit a safe and complete thyroidectomy.

KW - Goiter

KW - Thyroidectomy

KW - substernal goiter

UR - http://hdl.handle.net/10447/6723

M3 - Article

VL - 76

SP - 517

EP - 522

JO - ANNALI ITALIANI DI CHIRURGIA

JF - ANNALI ITALIANI DI CHIRURGIA

SN - 0003-469X

ER -