A STUDY ON MEDIASTINAL GOITER PATIENTS WHO HAD SURGERY AFTER OUR MEDICAL CENTER OPENED

Abstract

Here we report the four cases of mediastinal goiter surgery in the one year and 10 months from the opening of our center through July 31, 2016, and also include bibliographical consideration. The proportion of the mediastinal goiter in all of the thyroid surgeries was 5.9％. The age of the patients was between 56 and 68 years old, with an average age of 61.8 years, and the ratio of male to female patients was 1：3. All patients underwent needle aspiration biopsies, and 3 cases were found to be normal or benign, and one case was indeterminable. Surgical stress increases when tumors grow, thus, we chose surgical treatment for all of the cases. Surgery was performed using neck dissection in all of the cases. We consulted with the departments of thoracic surgery and cardiovascular surgery to prepare for the cases, including preparing for difficulty in enucleation or unexpected bleeding. Postoperative recurrent nerve paralysis was not observed in any of the cases; surgical procedure change, such as sternotomy, was not required in any of the cases. Postoperative pathological diagnosis showed adenomatous goiter in three patients and follicular adenoma in one patient, and all of them were benign. It was possible to perform surgery with neck dissection in all of the cases. We think it is necessary to consult with the departments of thoracic surgery and cardiovascular surgery when preparing for cases, such as those with malignant tumors, difficulty in enucleation or unexpected bleeding.