Retrosternal goiter: Analysis of 42 cases Retrosternal guatr: 42 olgunun analizi
Journal of Clinical and Analytical Medicine, cilt.4, sa.5, ss.400-403, 2013 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 4 Sayı: 5
- Basım Tarihi: 2013
- Doi Numarası: 10.4328/jcam.1130
- Dergi Adı: Journal of Clinical and Analytical Medicine
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.400-403
- Anahtar Kelimeler: Retrosternal Goiter, Surgical, Collar
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Aim: Cases that were operated due to diagnosis of retrosternal goiter were examined in terms of age, gender, complaints, diagnosis methods, surgical methods and postoperative complications. Material and Metod: The records of 42 cases operated due to retrosternal goiter between January 2006 and April 2012 were retrospectively evaluated. Results: Of the 42 cases, 16 (38.1%) were male and 26 (61.9%) were female; mean age was 56.4 years (range 31 - 79). 10 patients (23.8%) were asymptomatic and the most frequent complaint was dyspnea (n = 18, 42.9%). A collar-incision was used in 22 patients (52.4%), collar + sternotomy to 5 patients (11.9%), and right thoracotomy to 8 patients (19.0%). The most frequently observed thyroid pathology was nodular hyperplasia (n = 32, 76.2%) and 5 patients (11.9%) were diagnosed with thyroid carcinoma. The average duration of hospital stay was 5.6 days (2 - 16) and hypoparathyroidic hypocalcemia was determined in 2 patients (4.8%); no mortality was observed. Discussion: Collar incision is adequate for excision in most cases of retrosternal goiter. Sternotomy or thoracotomy can be safely applied with low morbidity rate to cases with suspected adjacency to mediastinal structures.