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Czasopismo
2013 | 8 | 4 | 415-419
Tytuł artykułu

The forgotten goiter: casuistic contribution and considerations for the choice of surgical approach

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Aim. A residual mediastinal thyroid (“forgotten goiter”) is a well-known, though uncommon, complication of total thyroidectomy. Materials of study. The authors analyze their experience with three cases of goiter forgotten, observed in a series of 2946 thyroid resections in the period 2005–2010. In the study, a preoperative CT of the chest with three-dimensional reconstruction was always performed to examine the topographical relationships of the lesion. Excision was performed through cervicotomy, cervicosternotomic approach and cervicosternotomy, and posterolateral right thoracotomy. Results. There were no complications. Histological examination was suggestive of malignancy in one case (follicular carcinoma with pulmonary metastases). Discussion. The indication for surgery in cases of forgotten goiter is intrinsic to the diagnosis. Preoperative evaluation with accurate topographic imaging is required in all cases in order to understand the nature and location of mediastinal pathological tissue and to identify the most suitable access route. The cervicotomy is the ideal access for low surgical trauma and is easily extendable into a partial or complete sternotomy. A thoracotomy, on the other hand, which is usually reserved for the right side, must be planned preoperatively.
Wydawca

Czasopismo
Rocznik
Tom
8
Numer
4
Strony
415-419
Opis fizyczny
Daty
wydano
2013-08-01
online
2013-06-12
Twórcy
  • Endocrine Surgical Unit, University of Perugia, Perugia, Italy
  • Thoracic Surgical Unit, University of Perugia, Perugia, Italy
  • Thoracic Surgical Unit, University of Perugia, Perugia, Italy
  • Endocrine Surgical Unit, University of Perugia, Perugia, Italy
  • Department of General Surgery, University of Perugia, St. Maria Hospital, Terni, Italy
  • Endocrine Surgical Unit, University of Perugia, Perugia, Italy
  • Endocrine Surgical Unit, University of Perugia, Perugia, Italy
  • Thoracic Surgical Unit, University of Perugia, Perugia, Italy
  • Department of General Surgery, University of Perugia, St. Maria Hospital, Terni, Italy, alessia.cor@libero.it
  • Endocrine Surgical Unit, University of Perugia, Perugia, Italy
  • Thoracic Surgical Unit, University of Perugia, Perugia, Italy
Bibliografia
  • [1] Reeve T.S., Rundel F.F., Hales H.B. et al., The investigation and management of intrathoracic goiter, Surg Gynecol Obstet, 1962, 115, 223–229
  • [2] Rother H.D., Goretzk P.E., Wahl R.A., Frilling A., Intrathorakale stuma, Chirurg, 1989, 60, 384–390
  • [3] Massard G., Wihlm J.M., Jeung M.Y., Roeslin N., Dumont P., Witz J.P., Morand G., Le goitre mediastinal oubliè: sept observation, Ann Chir, Chir thorac cardio-vasc 1992, 46(8), 770–773.
  • [4] Avenia N., Sanguinetti A., Cirocchi R., Docimo G., Ragusa M., Ruggiero R., Procaccini E., Boselli C., D’Ajello F., Barberini F., Parmeggiani D., Rosato L., Sciannameo F., De Toma G., Noya G., Antibiotic pophylaxis in thyroid surgery: a preliminary multicentric italian experience, Ann of Surg Innovation and Research, 2009, 10.1186/1750-1164-3-10
  • [5] D’Andrea V., Cantisani V., Catania A., Di Matteo F.M., Sorrenti S., Greco R., Kyriakos K., Menichini G., Marotta E., De Stefano M., Palermo S., Di Marco C., De Antoni E., Thyroid tissue remnants after “total thyroidectomy”, G Chir, 2009, 30(8–9), 339–344
  • [6] Cirocchi R, Boselli C, Guarino S, Sanguinetti A, Trastulli S, Desiderio J, Santoro A, Rondelli F, Conzo G, Parmeggiani D, Noya G, De Toma G, Avenia N. Total thyroidectomy with ultrasonic dissector for cancer: multicentric experience. World J Surg Oncol. 2012Apr 27;10:70. doi: 10.1186/1477-7819-10-70. http://dx.doi.org/10.1186/1477-7819-10-70[Crossref][WoS]
  • [7] Cirocchi R, D’Ajello F, Trastulli S, Santoro A, Di Rocco G, Vendettuoli D, Rondelli F, Giannotti D, Sanguinetti A, Minelli L, Redler A, Basoli A, Avenia N. Meta-analysis of thyroidectomy with ultrasonic dissector versus conventional clamp and tie. World J Surg Oncol. 2010Dec 23;8:112. doi: 10.1186/1477-7819-8-112. http://dx.doi.org/10.1186/1477-7819-8-112[WoS][Crossref]
  • [8] Fattovich G., Franceschini F., D’Atri C., Il gozzo “mediastinico” dimenticato, Chir Triveneta, 1994,34(1), 10–14
  • [9] Riquet M., Deneuville M., Debesse B., Chretien I., Goitre endothoracique autonome. A propos de deux noveau cas, Rev Pneumol Clin, 1986,42,267–273
  • [10] Hall T.S., Caslowitz P., Popper C., Smith G.W., Susternal goither versus intrathoracic aberrant thyroid: a critical difference, Ann Thorac Surg, 1988, 46, 684–685 http://dx.doi.org/10.1016/S0003-4975(10)64734-0[Crossref]
  • [11] Grigoletto R., Toniato A., Piotto A., Bernante P., Bernardi C., Pagetta C., Pelizzo M.R., Su di un caso di gozzo oublié gigante, Minerva Chir,1997, 52, 943–948
  • [12] Marrano D., Taffurelli M., Casadei R., Il gozzo retro sternale, Da Rosato l: La patologia chirurgica della tiroide e delle paratiroidi. Protocollo di trattamento diagnostico e terapeutico, Santhià (VC), Club delle UEC, 2000, 140–147
  • [13] Buckley J.A., Stark P., Intrathoracic mediastinal thyroid goither: imaging manifestation, AJR, 1999, 173, 471–475 http://dx.doi.org/10.2214/ajr.173.2.10430156[Crossref]
  • [14] Cirocchi R, Trastulli S, Sanguinetti A, Cattorini L, Covarelli P, Giannotti D, Di Rocco G, Rondelli F, Barberini F, Boselli C, Santoro A, Gullà N, Redler A, Avenia N. Recurrent differentiated thyroid cancer: to cut or burn. World J Surg Oncol. 2011 Aug 12;9:89. doi: 10.1186/1477-7819-9-89. http://dx.doi.org/10.1186/1477-7819-9-89[Crossref]
  • [15] Casadei R., Perenze B., Calculli L., Minni F., Conti A., Marrano D., Gozzo “dimenticato”: caso clinico e revisione della letteratura, Chir Ital, 2002, 54(6), 855–860
  • [16] Vadasz P., Kotsis L., Surgical aspects of 175 mediastinal goiters, Eur J Cardiothorac Surg, 1999, 86, 1235–1236.
Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_2478_s11536-013-0183-4
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