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May 2022 Vol. 10 No.5

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Alexieva M
Yankov G

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Merit Research Journal of Medicine and Medical Sciences (ISSN: 2354-323X) Vol. 10(5) pp. 150-157, May, 2022 

Copyright © 2022 Author(s) retain the copyright of this article

Case Report

Total Thyreoidectomy for Cervico-Mediastinal Goiters: Case Series and Literature Review


Magdalena Alexieva1, Plamen Gecov2, Stoyanka Dineva1*, Georgi Yankov1


1Thoracic Surgery Department, MBALBB “St. Sofia”- Medical university of Sofia, Sofia, Bulgaria
2Department of Imaging Diagnostics, UMBAL “ISUL – Tz. Joana”- Medical university of Sofia, Sofia, Bulgaria
3Department of Imaging Diagnostics, Medical Institut of the Ministry Of Interior

*Corresponding Author's E-mail: dineva_g@abv.bg
Received: 22 April 2022  I  Accepted: 21 May 2022  I  Published: 26 May 2022  I  Article ID: MRJMMS22037
Copyright © 2022 Author(s) retain the copyright of this article.
This article is published under the terms of the Creative Commons Attribution License 4.0.




There is no consensus today on distinct definition of retrosternal (RG), substernal (SG) or cervico-mediastinal (CMG) goiter. It is commonly defined as thyroid mass that extends three or more centimeters below the suprasternal notch while the neck is in the hyperextended condition [1]. RGnowadays is a challenge for the surgeon and the radical resection represents the only one effective treatment modality. It is noteworthy that total thyroidectomy is recommended due to the risk of present malignancy or future malignant degeneration and compressive symptoms. This isusually a successful operation with low complication risk and excellent long term results in experienced centers. In this article we described three cases with large retrosternal goiters, which were successfully operated in Thoracic surgery department and we created a brief literature review.

Keywords: Retrosternal goiter, Surgical treatment, Total thyroidectomy















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