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Intrathoracic Goitre – Undiagnosed – Nevertheless Operated
Authors: J. Janík; V. Malý *; V. Lažanská; I. Staněk *; M. Sauer
Authors‘ workplace: Chirurgická klinika, Masarykovy nemocnice o. z. Ústí nad Labem, přednosta: MUDr. Martin Sauer ; Oddělení hrudní chirurgie, Masarykovy nemocnice oz. Ústí nad Labem, primář: MUDr. Ivan Staněk *
Published in: Rozhl. Chir., 2010, roč. 89, č. 11, s. 663-665.
Category: Monothematic special - Original
Overview
A case review of a female patient, who was indicated for surgery for a goitre with minor bilateral retrosternal spread.
The procedure included bilateral thyroidectomy during which the surgeon noticed unusual intrathoracic pathology in the left hemithorax, under the removed lobe. Postoperative chest x-ray and CT examinations revealed intrathoracic goitre, which was then removed during a following procedure.
In the article, the authors discuss this uncommon pathology. Because of its uncommon location, the pathology was not detected on standard preoperative endocrinological examination. It was the follow up, postoperative examination, based on which the correct treatment was initiated.Key words:
intrathoracic goitre – classification – diagnostics and treatment
Sources
1. Babíčková, L., Skřičková, J., Kaplanová, J. Nádory mediastina. Postgraduální medicína, Brno, 2003, s. 8–14.
2. Bober, J, Sokol, L., Schwartz, P., a spol. Význam těsné interdisciplinární spolupráce v léčbě onemocnění štítné žlázy. Rozhl. Chir., 1994, s. 311–313.
3. Černý, J. Špeciálná chirurgia 3. Chirurgia hrudníku. Osveta Martin, 1993.
4. Dvořák, J. Štítná žláza, chirurgická anatomie, operační technika. Praha Seziba, 2000, s. 258–275.
5. Dvořák, J., Neumann, J. Chirurgické léčení velkých retrosternálně zasahujících strum. Rozhl. Chir., 1994, s. 123–126.
6. Mačáková, J. Patofyziologie endokrinního systému. LF Univerzita Palackého Olomouc, 2004, s. 44–84.
7. Markalous, B., Sobota, J., Charvát, J., Přeučil, P. Retrosternální struma – diagnostika a terapie. Otorinolaryngol., Praha, 1997, s. 10–18.
8. Nahodil, V., a kol. Chirurgie štítné žlázy. Praha, Avicenum, 1989.
Labels
Surgery Orthopaedics Trauma surgery
Article was published inPerspectives in Surgery
2010 Issue 11-
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