Large posterior mediastinal goiter post total cervical thyroidectomy: a case report


  • Maria Fesatidou Medical University of Sofia, Sofia, Bulgaria
  • Vasiliki Fesatidou Department of General Surgery, Papanikolaou General Hospital, Thessaloniki, Greece
  • Georgios Tsoulfas Department of Cardiothoracic Surgery, Euromedica General Clinic Thessaloniki, Greece
  • Ioannis T. Fessatidis Department of Cardiothoracic Surgery, Euromedica General Clinic Thessaloniki, Greece



Intra-thoracic goitre, Posterior mediastinum, Thoracotomy, Thyroidectomy


Thoracotomy approach is indicated for a complete and safe posterior mediastinal goitre removal. A 68 years old male was hospitalized due to a right mediastinal mass found in a chest X-ray and confirmed by computed tomography. The patient had undergone total cervical thyroidectomy thirty years ago. A computed tomography (CT) guided percutaneous needle biopsy of the mass revealed thyroid tissue. Subsequently, the mass was completely resected through a right posterolateral thoracotomy. The histopathology confirmed a large mediastinal goitre with no signs of malignancy. The patient had an uncomplicated recovery. We present a relatively rare case of a successful resection of a posterior mediastinal goitre, occurring thirty years post-total cervical thyroidectomy. We advocate lateral thoracotomy to achieve a broad operative field and enhance surgical safety.


Samokhvalov A, Loberant N, Makhoul N. Posterior mediastinal goitres: report of two cases and literature overview. Respir Med Case Rep. 2012;5:65-8.

Perrot MD, Fadel E, Mercier O, Furhamand P. Surgical Management of Mediastinal Goiters: when is a sternotomy required. Thoracic Cardiovascular Surgeon. 2007;55(1):33-43.

Torres A, Arroyo J, Kastanos N. Acute respiratory failure and tracheal obstruction in patients with intrathoracic goiter. Crit Care Med. 1983;11:28:265-6.

Ulreich S, Lowman RM, Stern H. Intra-thoracic goiter: a cause of superior vena cava syndrome. Clin Radiol. 1977;28:663-5.

Zhao H, Liu RDY, Li X, Wu Y, Cheng G, Cheng J. Complete trans-thoracic resection of giant posterior mediastinal goitre: case report and review of surgical strategies. Onco Targets Therapy. 2016;9:2415-9.






Case Reports