DOI: 10.36347/sjmcr.2017.v5i08.007

Pages: 475-477

Substernal goiter is a thyroid gland pathology that occupies a space in the thorax and may cause compressive symptoms, often with enlarged cervical goiter extending to the upper mediastinum. It is also known as mediastinal, intrathoracic or retrosternal goiter. Substernal goiter is a condition that should be treated surgically, considering that it may lead to compressive symptoms, create potential airway obstruction, as well as the likelihood of malignancy. In our case, a 103-year-old woman patient had cervical mass, respiratory distress and chest pain complaints. Reaching giant dimensions in the midline of the neck (25x20 cm), vascular, partly cystic, deplacing bilateral carotis and jugular vein with pressure to the lateral, and extending to the retrosternal area, the thyroid tissue has been raised concern and the case was presented in the context of the literature.