A STUDY ON MEDIASTINAL GOITER PATIENTS WHO HAD SURGERY AFTER OUR MEDICAL CENTER OPENED

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  • KUSHIHASHI Yukiomi
    Head and Neck Oncology Center, Showa University Hospital Department of Otorhinolaryngology, Showa University School of Medicine Department of Oral and Maxillofacial Surgery Division of Oral Oncology, Showa University School of Dentistry
  • KATSUTA Hideyuki
    Head and Neck Oncology Center, Showa University Hospital Department of Otorhinolaryngology, Showa University School of Medicine Department of Oral and Maxillofacial Surgery Division of Oral Oncology, Showa University School of Dentistry
  • IKEDA Kenichiro
    Head and Neck Oncology Center, Showa University Hospital Department of Otorhinolaryngology, Showa University School of Medicine Department of Oral and Maxillofacial Surgery Division of Oral Oncology, Showa University School of Dentistry
  • EGAWA Syunya
    Head and Neck Oncology Center, Showa University Hospital Department of Otorhinolaryngology, Showa University School of Medicine Department of Oral and Maxillofacial Surgery Division of Oral Oncology, Showa University School of Dentistry
  • IKENOYA Youichi
    Department of Otorhinolaryngology, Showa University School of Medicine
  • SAITO Yoshiro
    Head and Neck Oncology Center, Showa University Hospital Department of Oral and Maxillofacial Surgery Division of Oral Oncology, Showa University School of Dentistry
  • KAMOSHIDA Shinnosuke
    Head and Neck Oncology Center, Showa University Hospital Department of Oral and Maxillofacial Surgery Division of Oral Oncology, Showa University School of Dentistry
  • KITAJIMA Tatsuya
    Head and Neck Oncology Center, Showa University Hospital Department of Otorhinolaryngology, Showa University School of Medicine
  • KOBAYASHI Hitome
    Department of Otorhinolaryngology, Showa University School of Medicine
  • SHIMANE Toshikazu
    Head and Neck Oncology Center, Showa University Hospital Department of Otorhinolaryngology, Showa University School of Medicine Department of Oral and Maxillofacial Surgery Division of Oral Oncology, Showa University School of Dentistry

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Other Title
  • 当センターにおける縦隔内甲状腺腫の手術適応についての検討
  • 臨床報告 当センターにおける縦隔内甲状腺腫の手術適応についての検討
  • リンショウ ホウコク トウ センター ニ オケル ジュウカク ナイ コウジョウセンシュ ノ シュジュツ テキオウ ニ ツイテ ノ ケントウ

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Abstract

Here we report the four cases of mediastinal goiter surgery in the one year and 10 months from the opening of our center through July 31, 2016, and also include bibliographical consideration. The proportion of the mediastinal goiter in all of the thyroid surgeries was 5.9％. The age of the patients was between 56 and 68 years old, with an average age of 61.8 years, and the ratio of male to female patients was 1：3. All patients underwent needle aspiration biopsies, and 3 cases were found to be normal or benign, and one case was indeterminable. Surgical stress increases when tumors grow, thus, we chose surgical treatment for all of the cases. Surgery was performed using neck dissection in all of the cases. We consulted with the departments of thoracic surgery and cardiovascular surgery to prepare for the cases, including preparing for difficulty in enucleation or unexpected bleeding. Postoperative recurrent nerve paralysis was not observed in any of the cases; surgical procedure change, such as sternotomy, was not required in any of the cases. Postoperative pathological diagnosis showed adenomatous goiter in three patients and follicular adenoma in one patient, and all of them were benign. It was possible to perform surgery with neck dissection in all of the cases. We think it is necessary to consult with the departments of thoracic surgery and cardiovascular surgery when preparing for cases, such as those with malignant tumors, difficulty in enucleation or unexpected bleeding.

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