2011 Volume 25 Issue 5 Pages 518-521
The patient was a 61-year-old man. He was admitted to our department due to hemosputum. CT showed thyroid goiter extending to the tracheal bifurcation through the left anterior mediastinum. Adenomatous goiter was diagnosed by fine needle aspiration cytology under an echogram. The tumor was resected with a median sternotomy, in addition to collar-shaped incision in the left neck. The tumor was 15.5×7.5 cm, and it forked to span the bifurcation of the trachea. Considering the accuracy of the preoperative evaluation, the resection of goiter without complications of bleeding or recurrent laryngeal nerve paralysis was performed with a median sternotomy. We reviewed and discussed these core reports of intrathoracic goiter.