Forgotten Mediastinal Goiter.
10.16956/kjes.2005.5.2.114
- Author:
Jandee LEE
1
;
Kee Hyun NAM
;
Chi Young LIM
;
Hang Seok CHANG
;
Woung Youn CHUNG
;
Cheong Soo PARK
Author Information
1. Department of Surgery, Yonsei University College of Medicine, Seoul, Korea. ysurg@yumc.yonsei.ac.kr
- Publication Type:Case Report
- Keywords:
Forgotten mediastinal goiter;
Primary mediastinal goiter
- MeSH:
Diagnosis, Differential;
Embryonic Development;
Female;
Goiter*;
Hemorrhage;
Mediastinum;
Pregnancy;
Rare Diseases;
Recurrence;
Thorax;
Thyroid Gland;
Thyroidectomy
- From:Korean Journal of Endocrine Surgery
2005;5(2):114-117
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Forgotten mediastinal goiter is an extremely rare disease. It is most often the consequence of the incomplete removal of a ‘ plunging’ goiter, but it can sometimes be attributed to a concomitant, unrecongnized primary mediastinal goiter which is not connected to the thyroid. A primary mediastinal goiter(autonomous intrathoracic goiter) essentially caused by an abnormal embryonic development of the thyroid gland and a thyroid gland formation located in the thorax or the mediastinum. The differential diagnosis with ordinary recurrence was based on the absence of parenchymatous or vascular connections with the cervical thyroid gland. It is fed by local intrathoracic vessels and observed in the absence of previous thyroidectomy. Nevertheless, for primary mediastinal goiter, sternum-splitting incision will be required in most cases as troublesome mediastinal bleeding may occur which is difficult to control from a cervical collar incision. In this study we report a case of forgotten mediastinal goiter and review the various diagnostic and therapeutic problems posed by the condition. A number of possible solutions that can be implemented for this diasease are identified.
