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Year : 2019  |  Volume : 7  |  Issue : 2  |  Page : 79-81

Forgotten retrosternal goiter

Department of Endocrine and Breast Surgery, Prince Sultan Military Medical City, Riyadh, Saudi Arabia

Correspondence Address:
Abdulmalik M Ismail
Prince Sultan Military Medical City, Riyadh
Saudi Arabia
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ssj.ssj_39_18

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The presence of thyroid tissue in the mediastinum after total thyroidectomy is commonly known as “forgotten goiter,” which is considered as an extremely rare condition with controversy regarding the etiological causes. We report a 57-year-old female who has had a total thyroidectomy. Postoperatively, she underwent a computed tomography scan which revealed a retrosternal goiter. A reexploration was performed utilizing the previous collar incision. The mass was totally below the thoracic inlet separated from the central neck compartment. Forgotten goiter, though a rare pathology, can be prevented by meticulous preoperative imaging and can be managed during the first operation; however, surgical treatment for forgotten goiter, when performed in specialized centers, can be achieved through cervical approach and is associated with low morbidity.

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