Abstract
The retrosternal goiter is a rare thyroid gland disease, which mainly affects women over 60 years, characterized by increased thyroid size, weight and volume, which invades the thoracic cavity. Failure to perform the surgery has been recommended in some cases as an alternative way of improving the quality of life, especially in asymptomatic elderly patients. However, there is an incidence of cancer in retrosternal goiters associated with a higher rate of complications, justified the early surgical approach, especially in young patients, even if asymptomatic. This work results from a case report and literature review on retrosternal goiter and cancer incidence in a 62-year-old patient submitted total thyroidectomy with histopathologic findings after surgery, papillary carcinoma, follicular carcinoma and follicular adenoma. These findings alerts us to the possibility of cancer incidence in these patients, recommending in such cases, early surgical treatment
Highlights
The retrosternal goiter is a rare thyroid gland disease, which mainly affects women over 60 years, characterized by increased thyroid size, weight and volume, which invades the thoracic cavity
Realizava exames de rotina e, nos últimos 8 meses, devido aumento progressivo do tamanho da glândula, E inicio de quadro de desconforto respiratório em decúbito dorsal horizontal procurou nosso serviço, Divisão de Cirurgia de Cabeça e Pescoço, do Hospital das Clinicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo
Em idosos debilitados e assintomáticos deve ser avaliada a condição clínica do paciente para o procedimento e sua aceitação, considerando-se o risco relativo de mortalidade e morbidade associadas.Em adultos jovens com boa saúde, sintomáticos ou não, está indicado o tratamento cirúrgico, em virtude do risco de malignização agregado ao bócio retroesternal (BR)
Summary
The retrosternal goiter is a rare thyroid gland disease, which mainly affects women over 60 years, characterized by increased thyroid size, weight and volume, which invades the thoracic cavity. 1. Médico Residente, Divisão de Cirurgia de Cabeça e Pescoço do Hospital das Clinicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo (HCFMRP-USP).
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