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Eur J Cardiothorac Surg 2003;24:302
© 2003 Elsevier Science NL

Images in cardio-thoracic surgery

Dyspnea due to giant goiter

Fatih Alpera*, Mecit Kantarcia, Ibrahim Can Kurkcuoglub, Ahmet A. Balikc

a Department of Radiology, School of Medicine, Atatürk University, 25240 Erzurum, Turkey
b Department of Thoracic Surgery, School of Medicine, Atatürk University, 25240 Erzurum, Turkey
c Department of General Surgery, School of Medicine, Atatürk University, 25240 Erzurum, Turkey

Received 2 April 2003; received in revised form 10 April 2003; accepted 15 April 2003.

* Corresponding author. Tel.: +90-442-316-6333x2266; fax: +90-442-316-6340
e-mail: fatihrad{at}yahoo.com

Key Words: Goiter • Dyspnea • Thoracic wall

A 53-year-old man was admitted with limitation of cervical movements, progressive dyspnea, and a slow-growing and painful mass originating from both lobes of the thyroid gland (Fig. 1) . On physical examination, the dimensions of the mass were 20x25x30 cm. The goiter appeared as a cervical mass with a deviation of the trachea (Fig. 2) . Via a cervical incision subtotal thyroidectomy was performed and a tissue weighing 1700 g was removed. After the removal of the huge mass, cutaneous deformation was corrected with resection. The histopathologic examination revealed adenomatous multinodular goiter. The postoperative course was uneventful and the patient was discharged home 8 days after surgery. He is doing well at the 6-month follow-up visit.



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  		Fig. 1. Chest radiograph demonstrating a huge mass.

 


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  		Fig. 2. Lateral chest X-ray with cervical mass.

 




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