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Experience with managing retrosternal goitres in ibadan, Nigeria
Background: There is no general consensus on the definition of retrosternal goitre however thyroidectomy remains the gold standard of treatment with or without a sternotomy Aim: To review the outcome of surgical management of retrosternal goitres. Methodology: Retrospective review of records of pat...
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2016
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| LEADER | 00000njm a2000000a 4500 | ||
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| 001 | oai:repository.ui.edu.ng:123456789/12683 | ||
| 042 | |a dc | ||
| 720 | |a Ayandipo, O. O. |e author | ||
| 720 | |a Afolabi, A. O. |e author | ||
| 720 | |a Afuwape, O. O. |e author | ||
| 720 | |a Bolaji, B. E. |e author | ||
| 720 | |a Salami, M. A. |e author | ||
| 260 | |c 2016 | ||
| 520 | |a Background: There is no general consensus on the definition of retrosternal goitre however thyroidectomy remains the gold standard of treatment with or without a sternotomy Aim: To review the outcome of surgical management of retrosternal goitres. Methodology: Retrospective review of records of patients who had thyroidectomy for retrosternal goitre over a 15-year period. Results: Out of a total of 45 patients, 34(76%) were females and 11(24%) were males with a male/female ratio of 3:1; while their age ranged between 28 and 72years with a mean of 57+15SD. All the patients were euthyroid and a quarter did not have symptoms apart from a neck mass. In all, 15% of the patients had recurrent goitre. CT scan of neck and chest was done in 31 (72%) patients; while 44 (98%) patients had cervical retrosternal goitres, 1(2%) patient had ectopic retrosternal goitre. A cervical incision was sufficient in 28 (62%) patients while 17 (38%) patients required additional sternotomy. Total thyroidectomy was done in all the patients. There were post-operative complications in 19 (42%) patients. Histopathology showed that 3(6.6%) patients had papillary thyroid carcinoma while 42(93.4%) had benign pathology findings. Conclusion: Surgical removal is the treatment of choice. Most retrosternal goitres can be resected through a collar stud incision; however the possibility of a need for a sternotomy should always be planned. The simultaneous occurrence of cervical and ectopic retrosternal goitre should always be ruled out with a CT scan. | ||
| 024 | 8 | |a 2992-5827 | |
| 024 | 8 | |a ui_art_ayandipo_experience_2016 | |
| 024 | 8 | |a Journal of the West African College of Surgeons 6(1), pp. 31-46 | |
| 024 | 8 | |a https://repository.ui.edu.ng/handle/123456789/12683 | |
| 653 | |a Retrosternal goitre | ||
| 653 | |a Sternotomy | ||
| 653 | |a Total thyroidectomy | ||
| 653 | |a Good outcome | ||
| 653 | |a Ibadan | ||
| 653 | |a Nigeria | ||
| 245 | 0 | 0 | |a Experience with managing retrosternal goitres in ibadan, Nigeria |