J Endocr Surg.
2023 Jun;23(2):59-63. 10.16956/jes.2023.23.2.59.
A Case Report of Severe Tracheal Compression Secondary to a Large Benign Substernal Goiter
- Affiliations
-
- 1Department of Internal Medicine, Memorial Healthcare System, Pembroke Pines, FL, USA
- 2Division of Critical Care, Memorial Hospital West, Memorial Healthcare System, Pembroke Pines, FL, USA
- KMID: 2549293
- DOI: http://doi.org/10.16956/jes.2023.23.2.59
Abstract
- Substernal goiters have variable clinical presentations and pathological origins. We aim to review the incidence, diagnostic and treatment approaches in patients with airway compromise due to a large substernal goiter. In this case report, a 73-year-old female presented with critical tracheal compression caused by a substernal goiter, which was ultimately diagnosed as benign nodular hyperplasia in origin. The patient was treated successfully with left thyroid lobectomy and isthmusectomy. We conclude that findings of massive substernal goiter and significant airway compromise should not preclude the consideration for benign pathology. Surgical intervention can be lifesaving and curative.
