DOI: https://doi.org/10.36347/sjmcr.2026.v14i03.012

Pages: 367-374

Thyroid disorders are among the most common endocrine diseases encountered in surgical practice, and thyroidectomy remains a key treatment modality for both benign and malignant lesions of the gland. However, surgical management of long-standing thyroid masses presents complex clinical, anatomical, and perioperative challenges, especially when delayed presentation results in large, compressive, or invasive lesions. This case report discusses a 60-year-old male patient, Mr. Hanif Sorder, who presented with a massive anterior neck swelling of 30 years’ duration. The surgical team performed a hemithyroidectomy under general anesthesia, with meticulous dissection to preserve vital structures, including the recurrent laryngeal nerve and parathyroid glands. The case highlights the importance of early diagnosis, surgical planning, anatomical precision, and multidisciplinary coordination in managing advanced thyroid disease. Despite the complexity, the procedure was completed successfully without intraoperative or postoperative complications. This report discusses the operative challenges, strategies to minimize complications, and implications for surgical education and practice.