A Giant Euthyroid Endemic Multinodular Goiter with No Obstructive or Compressive Symptoms
Diffusely enlarged thyroid glands (goitres) are becoming increasingly infrequent. However, in some geographical areas they are still relatively common and can cause compressive symptoms involving the trachea, oesophagus, and recurrent laryngeal nerve. Surgical treatment of diffusely enlarged thyroid...
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2011/620480 |
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| author | Ahmed Nada Ashraf Mohamed Ahmed Ramon Vilallonga Manuel Armengol Ibrahim Moustafa |
| author_facet | Ahmed Nada Ashraf Mohamed Ahmed Ramon Vilallonga Manuel Armengol Ibrahim Moustafa |
| author_sort | Ahmed Nada |
| collection | DOAJ |
| description | Diffusely enlarged thyroid glands (goitres) are becoming increasingly infrequent. However, in some geographical areas they are still relatively common and can cause compressive symptoms involving the trachea, oesophagus, and recurrent laryngeal nerve. Surgical treatment of diffusely enlarged thyroid glands requires a high level of expertise and may lead to severe complications. Here we present a case report of surgical treatment of an extremely enlarged thyroid gland, found in a 61-year-old female patient. The patient underwent surgery, and a thyroidectomy was performed. The resulting specimen weighed 4.7 kg (10.4 lbs). Histopathological examination revealed a multinodular goitre with multiple cysts and areas of haemorrhage and necrosis. Surgical excision can immediately resolve local symptoms and is often recommended when substernal extension is evident. To the best of our knowledge, this is the largest thyroid gland ever reported in the literature. Only experienced surgeons should treat large thyroid goitres. Ideally, large thyroid goitres should be treated before they reach a substernal component, otherwise any sudden growth in gland size could seriously compromise respiration. |
| format | Article |
| id | doaj-art-e42dde06b29b4618a3b5f407da8c2013 |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-e42dde06b29b4618a3b5f407da8c20132025-02-03T01:23:31ZengWileyCase Reports in Medicine1687-96271687-96352011-01-01201110.1155/2011/620480620480A Giant Euthyroid Endemic Multinodular Goiter with No Obstructive or Compressive SymptomsAhmed Nada0Ashraf Mohamed Ahmed1Ramon Vilallonga2Manuel Armengol3Ibrahim Moustafa4General Surgery Department, Cairo University, 28 Mourad street, Giza, EgyptGeneral Surgery Department, Cairo-Fataemic Hospital, 85 Manial St., Cairo 11451, EgyptGeneral Surgery Department, University Hospital Vall d'Hebron, 08035, Barcelona, SpainGeneral Surgery Department, University Hospital Vall d'Hebron, 08035, Barcelona, SpainGeneral Surgery Department, Cairo University, 28 Mourad street, Giza, EgyptDiffusely enlarged thyroid glands (goitres) are becoming increasingly infrequent. However, in some geographical areas they are still relatively common and can cause compressive symptoms involving the trachea, oesophagus, and recurrent laryngeal nerve. Surgical treatment of diffusely enlarged thyroid glands requires a high level of expertise and may lead to severe complications. Here we present a case report of surgical treatment of an extremely enlarged thyroid gland, found in a 61-year-old female patient. The patient underwent surgery, and a thyroidectomy was performed. The resulting specimen weighed 4.7 kg (10.4 lbs). Histopathological examination revealed a multinodular goitre with multiple cysts and areas of haemorrhage and necrosis. Surgical excision can immediately resolve local symptoms and is often recommended when substernal extension is evident. To the best of our knowledge, this is the largest thyroid gland ever reported in the literature. Only experienced surgeons should treat large thyroid goitres. Ideally, large thyroid goitres should be treated before they reach a substernal component, otherwise any sudden growth in gland size could seriously compromise respiration.http://dx.doi.org/10.1155/2011/620480 |
| spellingShingle | Ahmed Nada Ashraf Mohamed Ahmed Ramon Vilallonga Manuel Armengol Ibrahim Moustafa A Giant Euthyroid Endemic Multinodular Goiter with No Obstructive or Compressive Symptoms Case Reports in Medicine |
| title | A Giant Euthyroid Endemic Multinodular Goiter with No Obstructive or Compressive Symptoms |
| title_full | A Giant Euthyroid Endemic Multinodular Goiter with No Obstructive or Compressive Symptoms |
| title_fullStr | A Giant Euthyroid Endemic Multinodular Goiter with No Obstructive or Compressive Symptoms |
| title_full_unstemmed | A Giant Euthyroid Endemic Multinodular Goiter with No Obstructive or Compressive Symptoms |
| title_short | A Giant Euthyroid Endemic Multinodular Goiter with No Obstructive or Compressive Symptoms |
| title_sort | giant euthyroid endemic multinodular goiter with no obstructive or compressive symptoms |
| url | http://dx.doi.org/10.1155/2011/620480 |
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