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An investigation into symptoms, diagnosis, treatment, and treatment complications in patients with retrosternal goiter

INTRODUCTION: Retrosternal goiter refers to any thyroid enlargement in which over 50% of the thyroid permanently located under the thoracic inlet or the lower pole of thyroid is not palpable with the neck in hyperextended position. Due to the increasing number of surgical procedures of retrosternal...

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Autores principales: Aghajanzadeh, Manouchehr, Asgary, Mohammad Reza, Mohammadi, Fereshteh, Darvishi, Haniye, Safarpour, Yasaman
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5958574/
https://www.ncbi.nlm.nih.gov/pubmed/29915764
http://dx.doi.org/10.4103/jfmpc.jfmpc_286_17
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author Aghajanzadeh, Manouchehr
Asgary, Mohammad Reza
Mohammadi, Fereshteh
Darvishi, Haniye
Safarpour, Yasaman
author_facet Aghajanzadeh, Manouchehr
Asgary, Mohammad Reza
Mohammadi, Fereshteh
Darvishi, Haniye
Safarpour, Yasaman
author_sort Aghajanzadeh, Manouchehr
collection PubMed
description INTRODUCTION: Retrosternal goiter refers to any thyroid enlargement in which over 50% of the thyroid permanently located under the thoracic inlet or the lower pole of thyroid is not palpable with the neck in hyperextended position. Due to the increasing number of surgical procedures of retrosternal goiter, the present study was carried out to examine the symptoms, diagnosis, treatment, and treatment complications in retrosternal goiter patients. MATERIALS AND METHODS: Data related to demographic data (age and gender), clinical symptoms (dyspnea, dysphagia, dysphonia, lumps in neck, and hoarseness), methods of diagnosis (computed tomography [CT], chest X-ray [CXR], ultrasonography, and magnetic resonance imaging), and postoperative complications (bleeding, early and late dysphonia, early and late dyspnea, transient and permanent hypocalcemia, transient, and permanent recurrent laryngeal nerve paralysis) were collected. RESULTS: According to the results 71.4% of patients were women and most of the participants (67.1%) aged 45–60 years. Mass in the neck was the most frequent symptoms before surgery (88.6%). The most common incision for thyroidectomy (95/7%) was neck Collar incision. Diagnosis method in 82.9% and 17.1% of cases was, respectively, based on CT scans with CXR and CT scans with CXR and ultrasound. According to the postoperative pathologic findings, 58.5% of the cases were multinodular goiter, 22.9% were papillary cell carcinoma, 7.1% were medullary carcinoma, 5.7% were anaplastic carcinoma, 5.7% were thyroid lymphoma, and only 1.4% were thyroid adenoma. Postoperative complications occurred in 47.14% of patients. Most common complication was early transient dysphonia. CONCLUSION: This study recommends that retrosternal goiter should be operated early under suitable conditions, and the best diagnosis tool and best surgery methods are CT scan and surgery with collar incision, respectively.
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spelling pubmed-59585742018-06-18 An investigation into symptoms, diagnosis, treatment, and treatment complications in patients with retrosternal goiter Aghajanzadeh, Manouchehr Asgary, Mohammad Reza Mohammadi, Fereshteh Darvishi, Haniye Safarpour, Yasaman J Family Med Prim Care Original Article INTRODUCTION: Retrosternal goiter refers to any thyroid enlargement in which over 50% of the thyroid permanently located under the thoracic inlet or the lower pole of thyroid is not palpable with the neck in hyperextended position. Due to the increasing number of surgical procedures of retrosternal goiter, the present study was carried out to examine the symptoms, diagnosis, treatment, and treatment complications in retrosternal goiter patients. MATERIALS AND METHODS: Data related to demographic data (age and gender), clinical symptoms (dyspnea, dysphagia, dysphonia, lumps in neck, and hoarseness), methods of diagnosis (computed tomography [CT], chest X-ray [CXR], ultrasonography, and magnetic resonance imaging), and postoperative complications (bleeding, early and late dysphonia, early and late dyspnea, transient and permanent hypocalcemia, transient, and permanent recurrent laryngeal nerve paralysis) were collected. RESULTS: According to the results 71.4% of patients were women and most of the participants (67.1%) aged 45–60 years. Mass in the neck was the most frequent symptoms before surgery (88.6%). The most common incision for thyroidectomy (95/7%) was neck Collar incision. Diagnosis method in 82.9% and 17.1% of cases was, respectively, based on CT scans with CXR and CT scans with CXR and ultrasound. According to the postoperative pathologic findings, 58.5% of the cases were multinodular goiter, 22.9% were papillary cell carcinoma, 7.1% were medullary carcinoma, 5.7% were anaplastic carcinoma, 5.7% were thyroid lymphoma, and only 1.4% were thyroid adenoma. Postoperative complications occurred in 47.14% of patients. Most common complication was early transient dysphonia. CONCLUSION: This study recommends that retrosternal goiter should be operated early under suitable conditions, and the best diagnosis tool and best surgery methods are CT scan and surgery with collar incision, respectively. Medknow Publications & Media Pvt Ltd 2018 /pmc/articles/PMC5958574/ /pubmed/29915764 http://dx.doi.org/10.4103/jfmpc.jfmpc_286_17 Text en Copyright: © 2018 Journal of Family Medicine and Primary Care http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Aghajanzadeh, Manouchehr
Asgary, Mohammad Reza
Mohammadi, Fereshteh
Darvishi, Haniye
Safarpour, Yasaman
An investigation into symptoms, diagnosis, treatment, and treatment complications in patients with retrosternal goiter
title An investigation into symptoms, diagnosis, treatment, and treatment complications in patients with retrosternal goiter
title_full An investigation into symptoms, diagnosis, treatment, and treatment complications in patients with retrosternal goiter
title_fullStr An investigation into symptoms, diagnosis, treatment, and treatment complications in patients with retrosternal goiter
title_full_unstemmed An investigation into symptoms, diagnosis, treatment, and treatment complications in patients with retrosternal goiter
title_short An investigation into symptoms, diagnosis, treatment, and treatment complications in patients with retrosternal goiter
title_sort investigation into symptoms, diagnosis, treatment, and treatment complications in patients with retrosternal goiter
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5958574/
https://www.ncbi.nlm.nih.gov/pubmed/29915764
http://dx.doi.org/10.4103/jfmpc.jfmpc_286_17
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