Abstract
Mediastinal goiter is a comparatively rare disease. Three skin incisions (collar incision, median sternotomy, thoracotomy) are available for operation and the one used should be dicided according to the individual case.
All operations in this study were performed by collar incision. One in four cases was malignant; the others were benign.
The symptoms of mediastinal goiter are due to pressure on the mediastinal structures, but symptomless cases are commen and include malignant cases. When mediastinal goiter is observed, it should be operated on as soon as possible.