Barker-Antonio A, Dávila-Ruiz EO, García-Manzano EO, Vásquez-Ciriaco S

Language: Spanish
References: 17
Page: 175-180
PDF size: 323.24 Kb.

ABSTRACT

Background: Intrathoracic goiter is defined as growth of the thyroid gland that is partially or totally in the mediastinum; patients may develop symptoms of obstruction due to progressive compression of the trachea; the most common obstructive symptom is dyspnea on exertion, which is present in 30% to 60% of cases.
Clinical case: A 60-year-old female patient who began suffering with tumors at the neck level, facial edema and collateral venous network accompanied by dyspnea on medium efforts. She referred to having to sleep with 3 pillows because she could not be in supine position due to dyspnea; presented with stabbing neck pain without irradiation in addition to difficulty swallowing solid food at times.
Conclusions: The treatment of choice for intrathoracic goiter is total resection of the thyroid gland.

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