DOI: 10.36347/sasjs.2023.v09i08.006

Pages: 666-672

Substernal goiters are quite common; their diagnosis is mainly based on the CT scan which must be performed systematically in case of suspicion of intrathoracic extension of the goiter. The diagnosis of thoracic goiter requires surgical excision, most often by cervicotomy, more rarely by sternotomy. The arguments in favor of this surgical treatment are twofold: on the one hand the inevitable evolution towards phenomena compression; on the other hand, the risk of malignant transformation.