Most of these goiters weigh less than 100 grams with those weighing more than 500 grams being exceptional. The presence of an RSG is an indication for surgery owing to the lack of effective medical treatment, the higher incidence of symptoms related to compression, low surgical morbidity, and the risk of malignancy.īackground-Multinodular goiter is a relatively common thyroid disorder with a marked female preponderance. There was no mortality and minor complications occurred in nine patients. The final histological diagnosis revealed malignancy in 26.9% of the thyroid specimens. The RSGs were removed by collar incision in 96% of the cases. The most common presentation was dyspnea (34.6%) and the surgical procedure predominantly used was total thyroidectomy. There were 26 patients (4.8%) with RSG out of 537 thyroidectomies, who underwent an operation for removal of RSGs, in a seven-year period.

Statistical analysis was performed, where age was expressed as mean and range, and other variables were presented as numbers and percentage. The twenty-six patients with RSG were analyzed further, with regard to demographics, presentation, indications, and outcome of surgical treatment. Retrospective analysis of 537 thyroidectomies performed at King Khalid University Hospital between 20. Retrospective study, teaching hospital-based. Our aim is to look into the demographics, presentation, and treatment of patients with RSG and essentially to determine the role of surgery in its treatment.

Surgery plays an important role in the treatment of these patients, but whether all or selected patients with RSG should undergo this operation remains controversial. Retrosternal goiter (RSG) is a term that has been used to describe a goiter that extends beyond the thoracic inlet.

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