Abstract
Background: Retrosternal goitre is considered to be a rare entity. It is a slow growing enlargement of the thyroid gland which remains asymptomatic for many years. Symptoms are mainly due to compression of airways and oesophagus. Surgical management with the removal of the involved lobe is considered sufficient. Summary: Here we report a case of a 33 yrs. old lady who presented to us with complaints of neck pain, facial flushing, difficulty in breathing and vague body ache. Clinical examination was within normal limits. The patient was referred to orthopedician for further evaluation. MRI cervical spine was done which was suggestive of large swelling in left lobe of thyroid with retrosternal extension causing deviation of trachea to opposite side. FNAC was done which was inconclusive. The involved lobe was removed surgically with frozen section suggestive of Colloid goitre. Conclusion: Retrosternal goitre are slow growing enlargement of thyroid gland which may present with vague symptoms, best managed surgically often followed relief from the symptoms post-surgery.
Highlights
Goitre is defined as any swelling in the neck resulting from enlargement of thyroid gland
Retrosternal goitre is defined as a goitre i.e. enlargement of thyroid gland with >50% located in the mediastinum
Excision of the goitre with hemi- thyroidectomy of the involved lobe is considered sufficient for retrosternal goitre
Summary
Received Date: 27 September, 2021 | Accepted Date: 29 October 2021 | Published Date: 05 January 2022.
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