Abstract
Tip of the iceberg: massive intrathoracic goiter In this article a case of an 80 year-old man with an impressive intrathoracic goiter is described. Thorough evaluation of the structural and functional impact and the risk of malignancy is needed. Theoretically, the management can consist of surgical resection, radioactive iodine, anti-thyroid drugs (in case of hyperthyroidism), or active surveillance. Multidisciplinary consultation is essential in cases of goiter with an important intrathoracic component. Based on the absence of compressive problems, the mild hyperthyroidism, the low risk of thyroid cancer and the anticipated slow growth, an active surveillance strategy was chosen.
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