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The Annals of Thoracic Surgery, Vol 50, 133-135, Copyright © 1990 by The Society of Thoracic Surgeons

ARTICLES

Retrotracheal goiter: a diagnostic and therapeutic problem

D Waldron, J Coffey, S Murphy, E Bresnihan, P Finnegan and V Lynch
Department of Thoracic Surgery, St. Vincent's Hospital, Dublin, Ireland.

A patient with chronic cough and recent dysphagia was found to have a retrotracheal mass extending into the visceral mediastinum on chest roentgenogram. A computed tomographic scan confirmed a retrotracheal lesion, which was believed to be of lymphatic origin. A thyroid scan demonstrated downward displacement of the left lobe but little uptake in the mass. Histological findings of mediastinal biopsies were inconclusive. A large retrotracheal thyroid adenoma was easily excised through a right thoracotomy. The approach to diagnosis and, in cases of doubt, the safety of surgical access through thoracotomy for thyroid lesions in this unusual site is discussed.




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