link
Bookmarks
Mediastinal Goiter
Santiago Martínez-Jiménez, MD
To access 4,300 diagnoses written by the world's leading experts in radiology, please log in or subscribe.Log inSubscribe
0
7
1
9

KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Definitions

                • Goiter: Enlarged thyroid gland
                • Cervical goiter: Completely within neck
                • Retrosternal/substernal goiter: Extension into surgical superior or anterior mediastinum
                • Mediastinal goiter: Extension into retrotracheal/retroesophageal mediastinum
                • Primary goiter
                  • Origin in ectopic thyroid tissue
                  • Blood supply from intrathoracic vessels
                • Secondary goiter
                  • Origin in cervical thyroid
                  • Primary blood supply from neck vessels

              IMAGING

              • General Features

                • Radiographic Findings

                  • Fluoroscopic Findings

                    • CT Findings

                      • MR Findings

                        • Ultrasonographic Findings

                          • Nuclear Medicine Findings

                            • Imaging Recommendations

                              DIFFERENTIAL DIAGNOSIS

                                PATHOLOGY

                                • General Features

                                  • Gross Pathologic & Surgical Features

                                    • Microscopic Features

                                      CLINICAL ISSUES

                                      • Presentation

                                        • Demographics

                                          • Natural History & Prognosis

                                            • Treatment

                                              DIAGNOSTIC CHECKLIST

                                              • Consider

                                                • Image Interpretation Pearls

                                                  Selected References

                                                  1. Batori M et al: Surgical treatment of retrosternal goiter. Eur Rev Med Pharmacol Sci. 11(4):265-8, 2007
                                                  2. Pollard DB et al: Preoperative imaging of thyroid goiter: how imaging technique can influence anatomic appearance and create a potential for inaccurate interpretation. AJNR Am J Neuroradiol. 26(5):1215-7, 2005
                                                  3. Chin SC et al: Spread of goiters outside the thyroid bed: a review of 190 cases and an analysis of the incidence of the various extensions. Arch Otolaryngol Head Neck Surg. 129(11):1198-202, 2003
                                                  4. Bonnema SJ et al: MR imaging of large multinodular goiters: observer agreement on volume versus observer disagreement on dimensions of the involved trachea. AJR Am J Roentgenol. 179(1):259-66, 2002
                                                  5. Hedayati N et al: The clinical presentation and operative management of nodular and diffuse substernal thyroid disease. Am Surg. 68(3):245-51; discussion 251-2, 2002
                                                  6. Jennings A: Evaluation of substernal goiters using computed tomography and MR imaging. Endocrinol Metab Clin North Am. 30(2):401-14, ix, 2001
                                                  7. Buckley JA et al: Intrathoracic mediastinal thyroid goiter: imaging manifestations. AJR Am J Roentgenol. 173(2):471-5, 1999
                                                  8. Belardinelli L et al: Comparison between computed tomography and magnetic resonance data and pathologic findings in substernal goiters. Int Surg. 80(1):65-9, 1995
                                                  9. Mack E: Management of patients with substernal goiters. Surg Clin North Am. 75(3):377-94, 1995
                                                  10. Cho HT et al: Management of substernal and intrathoracic goiters. Otolaryngol Head Neck Surg. 94(3):282-7, 1986
                                                  11. Katlic MR et al: Substernal goiter. Analysis of 80 patients from Massachusetts General Hospital. Am J Surg. 149(2):283-7, 1985
                                                  12. Glazer GM et al: CT diagnosis of mediastinal thyroid. AJR Am J Roentgenol. 138(3):495-8, 1982
                                                  13. Binder RE et al: Diagnosis of posterior mediastinal goiter by computed tomography. J Comput Assist Tomogr. 4(4):550-2, 1980
                                                  14. Jauregui R et al: Upper airway obstruction in euthyroid goiter. JAMA. 238(20):2163-6, 1977
                                                  15. McCort JJ: Intrathoracic goiter; its incidence, symptomatology, and roentgen diagnosis. Radiology. 53(2):227-37, 1949
                                                  Related Anatomy
                                                  Loading...
                                                  Related Differential Diagnoses
                                                  Loading...
                                                  References
                                                  Tables

                                                  Tables

                                                  KEY FACTS

                                                  • Terminology

                                                    • Imaging

                                                      • Top Differential Diagnoses

                                                        • Pathology

                                                          • Clinical Issues

                                                            • Diagnostic Checklist

                                                              TERMINOLOGY

                                                              • Definitions

                                                                • Goiter: Enlarged thyroid gland
                                                                • Cervical goiter: Completely within neck
                                                                • Retrosternal/substernal goiter: Extension into surgical superior or anterior mediastinum
                                                                • Mediastinal goiter: Extension into retrotracheal/retroesophageal mediastinum
                                                                • Primary goiter
                                                                  • Origin in ectopic thyroid tissue
                                                                  • Blood supply from intrathoracic vessels
                                                                • Secondary goiter
                                                                  • Origin in cervical thyroid
                                                                  • Primary blood supply from neck vessels

                                                              IMAGING

                                                              • General Features

                                                                • Radiographic Findings

                                                                  • Fluoroscopic Findings

                                                                    • CT Findings

                                                                      • MR Findings

                                                                        • Ultrasonographic Findings

                                                                          • Nuclear Medicine Findings

                                                                            • Imaging Recommendations

                                                                              DIFFERENTIAL DIAGNOSIS

                                                                                PATHOLOGY

                                                                                • General Features

                                                                                  • Gross Pathologic & Surgical Features

                                                                                    • Microscopic Features

                                                                                      CLINICAL ISSUES

                                                                                      • Presentation

                                                                                        • Demographics

                                                                                          • Natural History & Prognosis

                                                                                            • Treatment

                                                                                              DIAGNOSTIC CHECKLIST

                                                                                              • Consider

                                                                                                • Image Interpretation Pearls

                                                                                                  Selected References

                                                                                                  1. Batori M et al: Surgical treatment of retrosternal goiter. Eur Rev Med Pharmacol Sci. 11(4):265-8, 2007
                                                                                                  2. Pollard DB et al: Preoperative imaging of thyroid goiter: how imaging technique can influence anatomic appearance and create a potential for inaccurate interpretation. AJNR Am J Neuroradiol. 26(5):1215-7, 2005
                                                                                                  3. Chin SC et al: Spread of goiters outside the thyroid bed: a review of 190 cases and an analysis of the incidence of the various extensions. Arch Otolaryngol Head Neck Surg. 129(11):1198-202, 2003
                                                                                                  4. Bonnema SJ et al: MR imaging of large multinodular goiters: observer agreement on volume versus observer disagreement on dimensions of the involved trachea. AJR Am J Roentgenol. 179(1):259-66, 2002
                                                                                                  5. Hedayati N et al: The clinical presentation and operative management of nodular and diffuse substernal thyroid disease. Am Surg. 68(3):245-51; discussion 251-2, 2002
                                                                                                  6. Jennings A: Evaluation of substernal goiters using computed tomography and MR imaging. Endocrinol Metab Clin North Am. 30(2):401-14, ix, 2001
                                                                                                  7. Buckley JA et al: Intrathoracic mediastinal thyroid goiter: imaging manifestations. AJR Am J Roentgenol. 173(2):471-5, 1999
                                                                                                  8. Belardinelli L et al: Comparison between computed tomography and magnetic resonance data and pathologic findings in substernal goiters. Int Surg. 80(1):65-9, 1995
                                                                                                  9. Mack E: Management of patients with substernal goiters. Surg Clin North Am. 75(3):377-94, 1995
                                                                                                  10. Cho HT et al: Management of substernal and intrathoracic goiters. Otolaryngol Head Neck Surg. 94(3):282-7, 1986
                                                                                                  11. Katlic MR et al: Substernal goiter. Analysis of 80 patients from Massachusetts General Hospital. Am J Surg. 149(2):283-7, 1985
                                                                                                  12. Glazer GM et al: CT diagnosis of mediastinal thyroid. AJR Am J Roentgenol. 138(3):495-8, 1982
                                                                                                  13. Binder RE et al: Diagnosis of posterior mediastinal goiter by computed tomography. J Comput Assist Tomogr. 4(4):550-2, 1980
                                                                                                  14. Jauregui R et al: Upper airway obstruction in euthyroid goiter. JAMA. 238(20):2163-6, 1977
                                                                                                  15. McCort JJ: Intrathoracic goiter; its incidence, symptomatology, and roentgen diagnosis. Radiology. 53(2):227-37, 1949