Intrathoracic Multinodular Goiter Surpassing the Aortic Arch

A 46-year-old female patient presented multinodular goiter with symptoms of compression that had been progressing over the previous 2 years; lab work was suggestive of subclinical hyperthyroidism. After ultrasound and computed tomography, a cervical-mediastinal mass measuring 20 cm in craniocaudal length was observed to be compressing the trachea and esophagus, displacing the supra-aortic trunks and cardiac structures caudally, between the C4 and D8 vertebrae (Figs. 1 and 2).

Fig. 1

Fig. 2

Total thyroidectomy was performed through sternotomy together with thoracic surgery. Postoperative recovery transpired with no relevant complications, except transient hypoparathyroidism.

Funding

The authors declare that they have received no funding for this article.