Features of diagnostics and clinical picture of decompensated esophageal stenosis due to compression by thyroid gland neoplasm

Abstract

Background. According to Russian and foreign literature, chest goiter is one of the rare cases among diseases of the endocrine system, the occurrence of which is up to 10% among all thyroid pathologies. The atypical location of the goiter, in particular the chest, complicates diagnosis and gives a specific symptomatic picture, requiring special therapeutic and diagnostic tactics. The aim. Demonstration of a clinical case of cervical diffuse nodular goiter II st., subclinical thyrotoxicosis, a 72-year-old woman. Materials and methods. A demonstration of a clinical case of cervical diffuse nodular goiter II st., subclinical thyrotoxicosis, in a 72-year-old woman is presented. Results. The presented clinical case confirms the features of the course and morphology of recurrent goiter with localization in the mediastinum and in the chest space. Conclusion. This clinical case is of great interest due to the atypical localization of recurrent goiter in the anterior mediastinum, the difficulties of diagnosis, and the peculiarities of the technical performance of the operation. In the clinical case presented by us, an individual tactic of surgical treatment of a retrosternal goiter of the thyroid gland was chosen. In the postoperative period, it is necessary to be monitored by an endocrinologist, surgeon and neurologist. After the surgical intervention, monitoring of the patient’s condition is required for 6-12 months.