Study design and participants
All patients with retrosternal goiter presenting to the
London
Health Sciences Centre were managed within a multidisciplinary team
consisting of Head and Neck surgeons, thoracic surgeons,
endocrinologists, and nuclear medicine physicians. Patients were
investigated with a contrast-enhanced CT scan to assess the extent of
the retrosternal goiter to direct the surgical approach. Selective cases
examples illustrating the management principles at this institution are
described and discussed below.