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Ann Thorac Surg 1990;50:133-135
© 1990 The Society of Thoracic Surgeons

Articles

Retrotracheal goiter: A diagnostic and therapeutic problem

D. Waldron, FRCS*,a,b, J. Coffey, MBa,b, S. Murphy, FRCPIa,b, E. Bresnihan, FRCRa,b, P. Finnegan, FRCPIa,b, V. Lynch, FRCSa,b

a Department of Thoracic Surgery, St. Vincent's Hospital, Dublin UK
b Respiratory Medicine, The Regional Hospital, Galway, Ireland

Accepted for publication December 30, 1989.

* Address reprint requests to Mr Waldron, Department of Surgery, Regional Hospital, Galway, 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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