Unusual Calcified Goiter Associated With Increased Iodoprotein in Serum

Fulop, Milford; Bn, Premachandra

doi:10.1097/00007611-199304000-00018

Cited by 1 publication

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“…First, such pathology is well diagnosed by imaging techniques for decades . Second, if the calcification occurs the goiter has a tendency to shrink and usually is not large in size, the condition known as dystrophic calcification . We encountered with such condition in three cases (4.3%) but usually it was not a complete egg shell calcification but separate calcified areas of the capsule.…”

Section: Discussionmentioning

confidence: 93%

“…33,34 Second, if the calcification occurs the goiter has a tendency to shrink and usually is not large in size, the condition known as dystrophic calcification. [35][36][37] We encountered with such condition in three cases (4.3%) but usually it was not a complete egg shell calcification but separate calcified areas of the capsule. Only in one case, the calcification formed a firm union with the trachea.…”

Section: Discussionmentioning

confidence: 99%

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Surgical approach to the intrathoracic goiter

Vaiman

Bekerman

Jabarin

et al. 2018

Laryngoscope Investig Oto

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ObjectiveIn a retrospective study, the authors analyzed the surgical approach to the intrathoracic goiter to avoid sternotomy or thoracotomy.MethodsWe selected 70 intrathoracic cases of multinodular goiter out of 988 cases of thyroidectomy and compared them with cervical goiter cases. Surgical technique, results, and postsurgical complications were assessed.ResultsThe analyzed cases presented the retrosternal goiter (n = 53; 75.7%), the retrotracheal goiter (n = 9; 12.8%), and the retroesophageal goiter (n = 8; 11.4%). Complaining of chest pressure or discomfort was specific for intrathoracic cases (50%; 35 of 70). All goiters except one were removed via cervical incision. The surgeons used head reclination and isthmus dissection when removing sizable goiters. Mean weight of goiters was 180 g. The recurrent laryngeal nerve was more often temporarily damaged in intrathoracic cases in comparison with cervical cases (4.3% vs. 2.8%, P = .04), but the difference in permanent injury was less significant (P = .09). The incidence of temporary hypoparathyroidism was significantly higher in intrathoracic cases (P = .01).ConclusionIn cases of multinodular goiter the goiters of various extensions can be successfully removed via the cervical incision in most of the cases even if they occupy the retrosternal, retrotracheal, or retroesophageal position. The transthoracic approaches and sternotomy might be justified in malignant cases.Level of Evidence4.

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Section: Discussionmentioning

confidence: 93%