Multinodular goiter: an unusual case presentation

Abhishek Kunal, Shreyas Bhadaranavar, Balaji Dhaigude, Ramachandra Bharadwaj


Goitrous enlargement of the thyroid gland usually presents as a nontender anterior neck mass. Asymptomatic patients may be treated medically, which often reduces the size of the gland or avoids progression of the disease. Neglected or ineffectively treated cases may grow beyond the confines of the gland, which primarily occurs caudally into the mediastinum. In this paper, we present a patient with multinodular goiter with a large retrosternal component.


Thyroid gland, Multinodular, Retrosternal, Goiter

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Wilson JD, Foster DW. The thyroid gland. In: Wilson JD, Foster DW, eds. Williams Textbook of Endocrinology. 8th ed. New York, US: Harcourt Brace; 1992: 463-465,

Clark OH, Caron NR. Endocrine surgery-fine needle aspiration biopsy of the thyroid: thyroid lobectomy and subtotal and total thyroidectomy. In: Fischer JE, eds. Mastery of Surgery. 5th ed. Philadelphia: Lippincott Williams & Wilkins; 2007: 34.

Erdogan G, Erdogan MF, Delange F, Sav H, Gullu S, Kamel N. Moderate to severe iodine deficiency in three endemic goiter areas from the Black sea region and the capital of Turkey. Eur J Epidemiol. 2000;16(12):1131-4.