医学
入射(几何)
外科
恶性肿瘤
神秘的
甲状腺肿
多结节性甲状腺肿
纵隔
甲状腺切除术
甲状腺
内科学
光学
物理
病理
替代医学
作者
Luc Michel,H. Bradpiece
标识
DOI:10.1002/bjs.1800750621
摘要
This paper presents the clinical features and problems in the management of 34 patients with substernal goitre. Complete evaluation of the mediastinum relied on computed tomography. Thyroid function tests were performed routinely and showed a clinically underestimated incidence of hyperthyroidism (44 per cent). The incidence of occult malignancy in substernal goitres was high (12 per cent). In the majority of patients (88 per cent) the substernal goitres were removed by a collar incision. Four cases of goitres located in a retrotracheal position required a combined cervical and sternotomy approach. None of the 34 patients died. Transient postoperative hypocalcaemia was found in 41 per cent of our patients. The presence of a substernal goitre is an indication for resection based on the risk of malignancy, the risk of acute respiratory distress, the high incidence of thyrotoxicity and a low surgical morbidity.
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