๐”– Bobbio Scriptorium
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Superior vena cava syndrome and tracheal obstruction due to multinodular goiter

โœ Scribed by Dr. Daniel P. McKellar; Dr. Gary T. Verazin; Dr. K. M. Lim; Dr. Jerome C. Spiegel; Dr. Blaine L. Block


Publisher
John Wiley and Sons
Year
1994
Tongue
English
Weight
198 KB
Volume
16
Category
Article
ISSN
1043-3074

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โœฆ Synopsis


Tracheal obstruction and superior vena cava (SVC) syndrome are rare complications of retrosternal goiter. These two conditions present a difficult diagnostic and therapeutic challenge. Malignancy is the most common cause of SVC syndrome. Determining whether SVC syndrome is due to a benign or malignant process is imperative before instituting treatment, but this determination may be difficult. We present a case of a patient presenting with upper airway obstruction and SVC syndrome with a large mediastinal mass. The mass was determined to be a multinodular goiter. The patient was managed by surgical removal of the goiter with complete resolution of symptoms. This case illustrates the need for careful preoperative evaluation and the importance of establishing a histologic diagnosis prior to initiating treatment for SVC syndrome.


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