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Results for “Goiter, Substernal”

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PubMedDate not supplied

[Electroroentgenoscanning in the diagnosis of expanding mediastinal growths].

Thirty eight patients with the upper mediastinal tumours were examined by electroroentgenoscanning; 35 of these were operated on later and the diagnosis was confirmed. Comparison of the thyroid gland scannogram with the chest roentgenogram aided recognition of the nature of the detected formation. In cases of nonfunctional stromas the results of this method should be considered only in combination with other data.

Aged↗
PubMed1984

Computed tomography of the mediastinum.

Computed tomography is the radiographic examination of choice for evaluation of the mediastinum. Information regarding the size, shape, extent, density, and vascularity of mediastinal masses can be obtained non-invasively. Mediastinal lesions not seen on routine radiographs can be visualized by CT, allowing for earlier detection of disease.

Aortic Dissection↗
PubMedDate not supplied

[Cervicomediastinal and thoracic goiters].

Between 1950 and 1979 approximately 2400 patients with thyropathies have been operated in the I-st Surgical Clinic of Jassy. Of these 100 had cervico-mediastinal goiters, of which 79 were of the plunging cervico-mediastinal type, 18 were of the mediastino-cervical type and 3 were mediastinal goiters. The surgical treatment was applied in 98 patients, cervicotomy being sufficient to relieve the symptoms in 92 of the cases. The mixed approach (cervicosternotomy, or cervico-thoracic approach) were necessary in 5 cases, and the thoracic approach was selected in one case with an independent posterior mediastinal goiter. The immediate postoperative evolution, as well as the late evolution was good in most of the cases. Postoperative mortality was of 2 percent.

Adolescent↗
PubMedDate not supplied

[Surgical treatment of endothoracic goiter].

The authors make an analysis of the experience accumulated in the Clinic for Thoracic Surgery of Bucharest as a result of the surgical treatment of 16 patients endothoracic goiters. The authors stress the fact that these goiters should be differentiated from the "plunging goiter" variety, by their symptomatology, and by the different way of approaching their treatment. The diagnostic difficulties are stressed, especially since the uptake of iodine (radioactive iodine) can be negative in the endothoracic goiter of the functional type. The authors prefer thoracotomy, while the sternotomy is reserved only for the endothoracic goiters in the median area. The immediate results have been good in 15 cases. One patient died as a result of toxi-infectious phenomena.

Adult↗
PubMed1983

[Surgical tactics in recurrent goiter].

On the basis of an experience with 109 operations for different kinds of recurrent goiter certain indications and contraindications for operation are recommended. For the prevention of recurrencies and conservative treatment of a recurrent goiter the administration of thyroid hormones is indicated. Original details of the method and operative technique are described.

Goiter↗
PubMed1978

[Intrathoracic goiters].

Reference is made to the nosographical classification of intrathoracic goitre and the difficulties associated with its diagnosis. Particular attention is devoted to the correct surgical technique required. Surgery is mandatory in mediastinal cases on account of the slow and gradual progression of the swelling and exacerbation of the symptoms, and also because complications may supervene (cancer, intraparenchymal haemorrhage, etc.). The approach routes are discussed, along with the conditions requiring resort to a complementary route--usually median sternotomy--in addition to cervicotomy.

Adult↗
PubMed1983

Retrosternal goiter.

Criteria for the definition and classification of retrosternal goiter are described. The management of retrosternal goiter, including the surgical approaches available, is discussed on the basis of clinical experience with 12 cases.

Aged↗