Davide Inversini,Jessica Sabatino,Maria Laura Tanda,Matteo Annoni,Silvia Ippolito,
Multidisciplinary Management of Intrathoracic Goiter: A Case Report
International Journal of Surgical Case Reports
2019
2674-4171
http://dx.doi.org/10.31487/j.IJSCR.2019.02.06
https://www.sciencerepository.org/multidisciplinary-management-of-intrathoracic-goiter-a-case-report_IJSCR-2019-2-106 
Abstract: Introduction: Intrathoracic goiters are associated with compression of nearby structures, triggering severe compressive symptoms. Total thyroidectomy is the gold standard to treat these cases. 
Case Presentation: A patient with a huge intrathoracic goiter suffering from compressive symptoms underwent a thorough clinical, functional and imaging assessment and underwent total thyroidectomy in an Endocrino-Metabolic surgical referral center; after the surgery she suffered from transient hypocalcaemia but was discharged without major complications and continued periodical endocrinological follow-up. 
Conclusion: Management of intra-thoracic goiter requires a multidisciplinary approach of a skilled team both pre, during and after surgery to maximize the safety and efficacy of the procedure and reduce or promptly manage surgical or medical complications.Keywords: Intrathoracic goiter, total thyroidectomy, neuromonitoing