PubMed Health⌕ Search

SEARCH · PubMed Health

Results for “Goiter, Substernal”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 685 records · Page 38Linked to original sources
PubMed1982

[Mass screening for goiter under a public x-ray program].

The photofluorograms obtained during the 1976 public x-ray screening programme in the urban region of Rostock were scrutinized for dilations of the mediastinum and displacements of the trachea which might indicate strumae. Suspicious x-ray findings were verified scintigraphically in 42 of 117 cases. Tracheal constriction and displacement were found in 28 patients. Except for two suffering from hyperthyroidism, all patients were euthyroid on the basis of the in vitro diagnosis. 14 of 18 "cold" nodes and regions were clarified cytologically. Altogether, 21 patients were treated by hormone substitution, 4 by surgery and 1 (female) by radio-iodine therapy. This shows that public x-ray screening programmes are a suitable tool for identifying treatable strumae regardless of age for little additional cost.

Adult↗
PubMed1982

Surgical support of collapsing intrathoracic tracheomalacia after thyroidectomy.

Invalidating tracheal collapse occurred in a 55-year-old male farmer after extirpation of an intrathoracic goitre. The collapse was successfully treated by a new modification of supportive surgery developed by us, viz. circumferential application of heavy Marles mesh (Davol Inc., Box 8500, Cranston, R. I. 02920, USA) around the trachea.

Goiter, Substernal↗
PubMed1978

[Surgical management of stenosis of the trachea (author's transl)].

16 cases of stenosis of the trachea treated by resection and anastomosis are reported. The essential features of the technique of anaesthesia and surgery are described. It is stressed that the best results are to be obtained from end to end anastomosis. Results are analysed according to indications. In 13 cases normal function could be restored, one case improved and two remained carriers of tracheostomy canuls. 12 further cases have undergone surgery for large retrosternal thyroids causing stenosis of the trachea. Details of indications, technique and results are analysed.

Goiter, Substernal↗
PubMed1981

[Retrosternal goitres. Study of a series of 34 cases (author's transl)].

On the basis of study of 34 records of patients operated upon for retrosternal goitre, the authors attempt to assess the diagnostic approach and methods of treatment. Relatively rare (6% in our total group of patients undergoing thyroidectomy for cervical goitres), and particularly frequent amongst the elderly woman, retrosternal goitres often present as the result of a complication. The diagnosis is usually easy on the basis of standard chest X-rays. Other than in special cases, more complicated investigations are usually of no use. Isotope scan of the thyroid rarely gives valuable information concerning the retrosternal nature of the goitre. The retrosternal portion usually shows no uptake. The risk of malignant change is as high as for cervical goitres. Carcinoma sometimes presents as a metastasis. The treatment of a retrosternal goitre is usually simple, as long as the correct plane of cleavage is found at the outset. Surgical excision by simple cervicotomy is standard, even when the tumour is large in size. Finally, the authors emphasise the value of surgery earlier and more often, even in the absence of complications.

Adult↗
PubMed1981

[Recurrent nerve paralysis following thyroid surgery (author's transl)].

Following a brief review of anatomical features, the risk of injury to the recurrent nerve is discussed as a function of the type of operation performed: subtotal thyroidectomy, ablation of a retrosternal goitre, lobectomy, and total thyroidectomy. Particular attention has to be paid to the risk of anomaly in the nerve pathway: early division or a nerve branching directly from the Xth nerve without a recurrent pathway. Paralysis may be due to simple stretching of the nerve, when regression occurs in approximately three months. Paralysis of the recurrent nerve occurred in 1.69% of cases (7 definite, including 2 of necessity), in a series of 1 184 recurrent nerve exposures.

Goiter, Substernal↗
PubMedDate not supplied

[Posterior (retrovascular) mediastinocervical goiters].

Three cases are presented of endo-thoracic goiters with posterior, retro-vascular developement, a very rare variety of the mediastino-cervical goiter. The anatomic pathways are described, along which this variety of goiter can migrate inside the thorax, as well as the radiologic signs which allow to make a diagnosis. In view of making a choice of the access route the importance of the diagnosis is particularly stressed, before surgery is attempted. It is also demonstrated that the best route is the vertical cervicosternotomy of the partial type (the Welti technique), completed by antero-lateral thoracotomy in the III-rd right intercostal space.

Adult↗
PubMed1995

[Personal experience with surgery of retrosternal goiter].

BACKGROUND: Retrosternal goitre has its specific features: a clinical picture with elements of compression, an increased percentage of malignant conversion, a technically more pretentious operation with an increased number of complications etc. Data in the literature are not uniform. The objective of the presented work was to assemble information in a large group of operated patients. METHODS AND RESULTS: The authors evaluated retrospectively operations of retrosternal goitres from two clinical departments. Of 716 patients operated on account of goitre 87 (21.1%) had retrosternal goitre. Women were affected more frequently (84%) than men (16%), ratio 5.2:1; the mean age of women was 66 years, of men 56 years. A malignant finding was confirmed in 4.6% of the operated patients. The most frequent finding was benign adenomatous colloid goitre (8.5%) and Hashimoto's thyroiditis (80.4%). Hyperthyroidism of the Graves-Basedow type (4.6%) and benign hyperthyroidism of the Plummer type (2.3%) were not frequent. Type of malignity: papillary carcinoma (3.45%) and follicular carcinoma (1.15%); medullary carcinoma, anaplastic carcinoma or lymphoma were not found. The most frequent surgical approach was cervical incision (Kocher) in 95.4%; it had to be supplemented by sternotomy only in 4.6% of the operated patients. As far as the extent of surgery is concerned, almost total thyroidectomy was performed in 60.9%, total lobectomy in 2.3%, subtotal thyroidectomy in 32.2% and subtotal lobectomy in 4.6% of the patients. 24.1% of the patients developed complications, only in 5.7% they were permanent. One female patient died (1.2%). CONCLUSIONS: Retrosternal goitre accounted for cca 20% of patients operated on account of goitre. In cca 5% histology confirmed a malignant form (papillary and follicular carcinoma). Sternotomy was necessary only in less than 5% of the operated patients. The results of surgery are very good.

Aged↗
PubMedDate not supplied

[Surgery of the intrathoracic goiter (author's transl)].

One is often obliged to resect intrathoracic goiters. This is not directed towards functional problems but towards the local compression on other organs in the vicinity. Goiters that extend through the cervicomediastinal inlet are of this kind. In cases where the major part is in the mediastinum there still exists a continuity with the cervical part. Most cases can be resected by a cervicostomy. The vascularization comes from the neck except in true thoraic goiters. This makes it possible to ligate the vessels before extracting the gland. In difficult cases a mid sternotomy may be useful so that all thoracic goiters can be operated safely.

Diagnosis, Differential↗