Trans-cervical resection of a separate substernal goitre

Abstract

HighlightsA separate substernal goitre is an unusual entity, which may have embryological origin as ectopic thyroid tissue, or residual cervical thyroid tissue following prior thyroid resection.Pre-operative imaging via a thyroid nuclear scan and computer tomography (CT) imaging aids in determining its characteristics and for pre-operative planning.A trans-cervical resection is preferred due to lower morbidity.A trans-cervical resection is achievable when the lesion is accessible and delivered through the thoracic inlet according to CT characteristics.