Scabbard trachea in medullary thyroid cancer

• Published in: BMJ case reports Vol. 14; no. 4; p. e242352
• Main Authors: Kaul, Pallvi, Kumar, Rahul, Paul, Pranoy, Garg, Pankaj Kumar
• Format: Journal Article
• Language: English
• Published: England BMJ Publishing Group LTD 23.04.2021; BMJ Publishing Group
• Subjects: Accuracy; Agreements; Carcinoma, Neuroendocrine - diagnostic imaging; Case reports; Chronic obstructive pulmonary disease; Ears & hearing; Head & neck cancer; Humans; Images In; Medical imaging; Neck; Nose; Ostomy; Otolaryngology; Patients; Pharynx; Surgery; Surgical outcomes; Thyroid cancer; Thyroid gland; Thyroid Neoplasms - diagnostic imaging; Trachea - diagnostic imaging; thyroid disease; head and neck cancer; ear; nose and throat/otolaryngology
• ISSN: 1757-790X; 1757-790X
• DOI: 10.1136/bcr-2021-242352

In a retrospective analysis of 115 patients with retrosternal goitre, Wang et al reported that mere three patients required an extracervical surgical approach.3 However, Monchik et al, based on their retrospective review of 976 patients undergoing thyroid surgery, suggested that a thoracic approach was necessary for thyroid masses with intrathoracic extension in which at least 50% of the mass was below the thoracic inlet.4 Diligent preoperative planning, based on the findings of CT of the neck and chest, is essential before resecting a large retrosternal goitre for optimal surgical outcomes. [...]the anticipated possibility of the event and algorithm for management must be established in the preoperative period. PKG: (1) Substantial contributions to the conception or design of the work, or the acquisition, analysis or interpretation of data; (2) drafting the work or revising it critically for important intellectual content; (3) final approval of the version published; (4) agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.