Question

Retrosternal goiter which is true?

• A. All patients should undergo CT chest
• B. All patients require a median sternotomy
• C. It receives blood supply from thoracic vessels
• D. Majority of retrosternal goitres should be operated immediately

Answer 1

The Correct Option is A

Retrosternal goiter refers to a thyroid enlargement where a significant portion of the gland extends into the mediastinum. Understanding its evaluation and management is crucial for patient outcomes. Here's a detailed analysis:

• Statement: All patients should undergo CT chest: True. A CT scan of the chest is essential in assessing the extent of the goiter, its relationship to nearby structures, and potential tracheal compression. It aids in surgical planning and is a standard diagnostic procedure for retrosternal goiter patients.
• Statement: All patients require a median sternotomy: False. A median sternotomy is rarely required. Most retrosternal goiters can be accessed and removed via a cervical incision. Only in cases where the goiter is inaccessible or extends significantly into the thorax may a sternotomy or thoracotomy be necessary.
• Statement: It receives blood supply from thoracic vessels: False. Retrosternal goiters primarily receive blood supply from cervical vessels, like the superior and inferior thyroid arteries, rather than thoracic vessels.
• Statement: Majority of retrosternal goitres should be operated immediately: False. While surgery is often indicated due to risks of compression and malignant transformation, not all cases require immediate intervention. The decision depends on symptoms, growth rate, and potential complications.