Image in medicine
Huge intrathoracic goiter presenting with dyspnea and dysphagia
Gran bocio intratorácico que se presenta con disnea y disfagia
Endocrinology Department, Hospital de Santa Maria, Centro Hospitalar Universitári o de Lisboa Norte, Lisbon, Portugal
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On further investigation, a thoracic computed tomography (CT)-scan revealed a large solid heterogeneous mass that had compressive effect on her trachea and descending aorta (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B); this mass had an apparent origin in the neck. Thyroid goiter was suspected and confirmed by thyroid scintigraphy (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>C) and fine needle aspiration.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">The patient underwent thyroidectomy totalization that required both cervical and sternotomy approaches. Histology confirmed a multinodular goiter.</p><p id="par0020" class="elsevierStylePara elsevierViewall">This case highlights that intrathoracic goiter may cause severe compressive symptoms and be mistaken at first for other solid and/or malignant tumors. The previous surgery in this patient probably explains the slow and progressive growth of the right thyroid lobe. Surgeries in cases such as this one may be troublesome and sometimes need a thoracic approach.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflict of interest</span><p id="par0025" class="elsevierStylePara elsevierViewall">Authors declare no conflicts of interest.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Funding</span><p id="par0030" class="elsevierStylePara elsevierViewall">None declared.</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Ethical approval</span><p id="par0035" class="elsevierStylePara elsevierViewall">Written informed consent was obtained.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflict of interest" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Funding" ] 2 => array:2 [ "identificador" => "sec0015" "titulo" => "Ethical approval" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 526 "Ancho" => 2094 "Tamanyo" => 131212 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23870206/0000016000000011/v1_202306121221/S2387020623001869/v1_202306121221/en/main.assets" "Apartado" => array:4 [ "identificador" => "51820" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in medicine" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23870206/0000016000000011/v1_202306121221/S2387020623001869/v1_202306121221/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020623001869?idApp=UINPBA00004N" ]
