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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">El objetivo de este estudio ha sido revisar nuestra experiencia en el tratamiento quir&#250;rgico del bocio cervicomediast&#237;nico&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se han estudiado retrospectivamente los pacientes con bocio cervicomediast&#237;nico operados en los &#250;ltimos 10 a&#241;os&#44; analizando los datos relativos a sus antecedentes&#44; cl&#237;nica&#44; m&#233;todos de diagn&#243;stico&#44; tratamiento quir&#250;rgico y evoluci&#243;n postoperatoria&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Veintiocho pacientes&#44; 19 mujeres y 9 varones&#44; de 62 &#177; 2 a&#241;os de edad se han incluido en el estudio&#46; De los pacientes con cl&#237;nica compresiva &#40;75&#44;6&#37;&#41;&#44; la disnea fue el s&#237;ntoma m&#225;s frecuente &#40;36&#44;6&#37;&#41;&#44; seguida de la disfagia y el s&#237;ndrome de vena cava superior&#46;</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">S&#243;lo en 3 casos &#40;11&#44;2&#37;&#41; se evidenci&#243; un patr&#243;n funcional de obstrucci&#243;n extrator&#225;cica&#46; La gammagraf&#237;a mostr&#243; un aumento de tama&#241;o del tiroides en 25 casos&#44; de &#233;stos&#44; nueve presentaban adem&#225;s nodulo fr&#237;o&#46; La punci&#243;n tiroidea se realiz&#243; en 5 enfermos&#44; demostrando en uno malignidad&#46;</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Se realiz&#243; una fibrobroncoscopia en 15&#44; encontrando compresi&#243;n traqueal en 7 casos &#40;25&#37;&#41;&#46; En &#233;stos no hubo mayor incidencia de complicaciones postoperatorias&#46;</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">En 23 casos &#40;82&#44;1&#37;&#41; se realiz&#243; una cervicotom&#237;a&#44; una cervicosternotom&#237;a en cuatro &#40;14&#37;&#41; y una toracotom&#237;a en uno &#40;3&#44;6&#37;&#41;&#46; En 15 pacientes &#40;53&#44;6&#37;&#41; se realiz&#243; tiroidectom&#237;a subtotal bilateral&#44; total en tres &#40;10&#44;7&#37;&#41;&#44; derecha en seis &#40;21&#44;4&#37;&#41; e izquierda en cuatro &#40;14&#44;3&#37;&#41;&#46; El bocio coloide fue el tipo histol&#243;gico m&#225;s frecuente &#40;42&#44;8&#37;&#41;&#44; seguido de hiperplasia nodular &#40;35&#44;8&#37;&#41;&#44; c&#225;ncer &#40;10&#44;7&#37;&#41; y adenoma &#40;10&#44;7&#37;&#41;&#46;</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">En el postoperatorio&#44; 3 pacientes presentaron paresia recurrencial transitoria&#44; y otros 3 casos sufrieron complicaciones mayores&#58; una hemorragia postoperatoria y 2 traqueomalacias que requirieron traqueotom&#237;a&#46;</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">El bocio cervicomediast&#237;nico es una entidad que puede presentar s&#237;ntomas compresivos traqueales y&#47;o esof&#225;gicos&#46; En nuestra serie&#44; la mayor parte han sido resecables por cervicotom&#237;a&#44; siendo m&#225;s frecuentes los bocios coloides seguidos de la hiperplasia nodular&#46; No hubo relaci&#243;n entre el tipo de tiroidectom&#237;a y la incidencia de complicaciones&#46;</p></span>"
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        "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">To review our experience with the surgical treatment of cervicomediastinal goiters&#46;</p><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Charts of patients with cervicomediastinal goiters undergoing thyroidectomy within the last 10 years were reviewed&#46; Data regarding previous disease&#44; clinical features&#44; diagnostic procedures&#44; surgical intervention and postoperative evolution were recorded&#46;</p><p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">Twenty-eight patients &#40;19 female and 9 male&#41; 62 &#177; 2 years o&#237;d underwent surgery to treat cervicomediastinal goiter during the period reviewed&#46; Among patients with compressive manifestations &#40;75&#46;6&#37;&#41;&#44; dyspnea was the most common &#40;36&#46;6&#37;&#41; symptom&#44; followed by dysphagia and superior vena cava syndrome&#46; An extrathoracic obstruction pattern was found in 3 &#40;11&#46;2&#37;&#41; cases&#46; Thyroid scintigraphy showed increased thyroid size in 25 patients&#44; and in 9 of them a coid nodule was present as well&#46; Fine needle aspiration of the thyroid gland was performed in 5 patients&#59; malignancy was found only in 1 case&#46; Fiberoptic bronchoscopy was performed in 15 patients&#59; in 7 &#40;25&#37;&#41; tracheal compression was found&#46; In these patients there was no higher rate of postoperative complications&#46;</p><p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">Cervicotomy was the surgical approach used in 23 &#40;82&#46;1&#37;&#41; patients&#46; Cervicosternotomy was used in 4 &#40;14&#37;&#41;&#44; and thoracotomy in 1 &#40;3&#46;6&#37;&#41;&#46; The surgical procedure was bilateral subtotal thyroidectomy in 15 &#40;53&#46;6&#37;&#41;&#44; total thyroidectomy in 3 &#40;10&#46;7&#37;&#41;&#44; right lobectomy in 6 &#40;21&#46;4&#37;&#41;&#44; and left lobectomy in 4 &#40;14&#46;3&#37;&#41;&#46; Colloid goiter was the most common histological type &#40;42&#46;8&#37;&#41;&#44; followed by nodular hyperplasia &#40;35&#46;8&#37;&#41;&#44; cancer &#40;10&#46;7&#37;&#41; and adenoma &#40;10&#46;7&#37;&#41;&#46; Three patients showed transient recurrent paralysis in the postoperative period&#44; and another 3 patients presented major complications&#58; 1 case of postoperative bleeding and 2 cases of tracheomalacia requiring tracheostomy&#46;</p><p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">Cervicomediastinal goiter is a disease that may involve compressive symptoms&#46; In our experience&#44; most cases were resected through cervicotomy&#44; colloid goiter and the nodular hyperplasia being the most common histological types&#46; There was no relationship between surgical procedure and the incidence of complications&#46;</p></span>"
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                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7606997"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib0040"
              "etiqueta" => "8&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Mediastinal goiters&#58; the need of an aggressive approach"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "L&#46;E&#46; Sanders"
                            1 => "R&#46;L&#46; Rossi"
                            2 => "D&#46;M&#46; Shahian"
                            3 => "W&#46;A&#46; Williamson"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Arch Surg"
                        "fecha" => "1992"
                        "volumen" => "127"
                        "paginaInicial" => "T609"
                        "paginaFinal" => "T613"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib0045"
              "etiqueta" => "9&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Thyroid"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "T&#46;W&#46; Shields"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:4 [
                        "titulo" => "Thoracic surgery"
                        "paginaInicial" => "1&#46;454"
                        "paginaFinal" => """
                          1&#46;464\n
                          <p></p>
                          """
                        "serieFecha" => "1995"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib0050"
              "etiqueta" => "10&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Surgical treatment of goiters with intrathoracic development Thoracic surgery&#58; frontiers uncommon neoplasms"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "M&#46; Dahan"
                            1 => "J&#46; Gaillard"
                            2 => "H&#46; Eschapase"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:3 [
                        "titulo" => "International trends in general thoracic surgery"
                        "paginaInicial" => "5"
                        "serieFecha" => "1989"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib0055"
              "etiqueta" => "11&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "CT diagnosis of mediastinal thyroid"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "G&#46;M&#46; Gazer"
                            1 => "L&#46; Axel"
                            2 => "A&#46;A&#46; Moss"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Am J Rheum"
                        "fecha" => "1982"
                        "volumen" => "138"
                        "paginaInicial" => "495"
                        "paginaFinal" => "498"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib0060"
              "etiqueta" => "12&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Computed tomography of intrathoracic goiters"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "B&#46; Bashist"
                            1 => "K&#46; Ellis"
                            2 => "R&#46;P&#46; Gold"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Am J Rheum"
                        "fecha" => "1983"
                        "volumen" => "140"
                        "paginaInicial" => "455"
                        "paginaFinal" => "458"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib0065"
              "etiqueta" => "13&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Intrathoracic goiter"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "C&#46;P&#46;G&#46; Wakeley"
                            1 => "J&#46;H&#46; Mulvany"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Surg Gynecol Obstet"
                        "fecha" => "1940"
                        "volumen" => "70"
                        "paginaInicial" => "702"
                        "paginaFinal" => "707"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib0070"
              "etiqueta" => "14&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Intrathoracic goiter&#58; approaching the posterior mediastinal mass"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "R&#46;J&#46; Landreneau"
                            1 => "W&#46; Nawarawong"
                            2 => "T&#46;M&#46; Boley"
                            3 => "J&#46;A&#46; Johnson"
                            4 => "J&#46;J&#46; Curtis"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Ann Thorac Surg"
                        "fecha" => "1991"
                        "volumen" => "52"
                        "paginaInicial" => "134"
                        "paginaFinal" => "136"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2069442"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib0075"
              "etiqueta" => "15&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Intrathoracic goiter"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "M&#46; Moumen"
                            1 => "M&#46; Menhane"
                            2 => "H&#46; Nawfik"
                            3 => "F&#46; El Fares"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Apropos of 36 cases&#46; J Chir"
                        "fecha" => "1990"
                        "volumen" => "127"
                        "paginaInicial" => "22"
                        "paginaFinal" => "26"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib0080"
              "etiqueta" => "16&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "S&#237;ndrome de la vena cava superior secundario a bocio benigno intrator&#225;cico&#58; presentaci&#243;n de un caso y revisi&#243;n de la literatura"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "F&#46; Ziad"
                            1 => "J&#46; Lacasa"
                            2 => "R&#46; Serrano"
                            3 => "R&#46; Aznar"
                            4 => "J&#46; Garrapiz"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Rev Clin Esp"
                        "fecha" => "1990"
                        "volumen" => "187"
                        "paginaInicial" => "233"
                        "paginaFinal" => "235"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2102534"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib0085"
              "etiqueta" => "17&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Intrathoracic goiter with hyperthyroidism&#44; tracheal compression&#44; superior vena cava syndrome&#44; and Horner&#39;s syndrome"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "K&#46; Cengiz"
                            1 => "A&#46; Aykin"
                            2 => "A&#46; Demirci"
                            3 => "B&#46; Diren"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Chest"
                        "fecha" => "1990"
                        "volumen" => "97"
                        "paginaInicial" => "1&#46;005"
                        "paginaFinal" => "1&#46;006"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2347230"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib0090"
              "etiqueta" => "18&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Operative treatment of substernal goiters"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "A&#46;R&#46; Shaha"
                            1 => "A&#46;E&#46; Alfonso"
                            2 => "B&#46;M&#46; Jaffe"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Head and Neck"
                        "fecha" => "1989"
                        "volumen" => "11"
                        "paginaInicial" => "325"
                        "paginaFinal" => "328"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2753701"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib0095"
              "etiqueta" => "19&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Rationale for operative management of substernal goiters"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "M&#46;D&#46; Allo"
                            1 => "N&#46;W&#46; Thompson"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Surgery"
                        "fecha" => "1983"
                        "volumen" => "94"
                        "paginaInicial" => "969"
                        "paginaFinal" => "973"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6648812"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            19 => array:3 [
              "identificador" => "bib0100"
              "etiqueta" => "20&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Intrathoracic goiter"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "N&#46;N&#46; Al-Suliman"
                            1 => "H&#46;P&#46; Graversen"
                            2 => "M&#46; Blichert-Toft"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Diagnostic aspects&#44; surgical complications and permanent sequelae&#46; Ugeskr Laeger"
                        "fecha" => "1994"
                        "volumen" => "156"
                        "paginaInicial" => "1&#46;646"
                        "paginaFinal" => "1&#46;649"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            20 => array:3 [
              "identificador" => "bib0105"
              "etiqueta" => "21&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A case of mediastinal thyroid removed by transternal mediastinotomy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "H&#46; Lilienthal"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Surg Gynecol Obstet"
                        "fecha" => "1915"
                        "volumen" => "20"
                        "paginaInicial" => "589"
                        "paginaFinal" => "591"
                      ]
                    ]
                  ]
                ]
              ]
            ]
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              "identificador" => "bib0110"
              "etiqueta" => "22&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Comment to&#58; Shields TW&#46; Thyroid"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "H&#46;C&#46; Urschel"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:3 [
                        "titulo" => "Thoracic surgery"
                        "paginaInicial" => "1&#46;463"
                        "serieFecha" => "1995"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            22 => array:3 [
              "identificador" => "bib0115"
              "etiqueta" => "23&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Surgical treatment of benign nontoxic intrathoracic goiter&#58; a long-term observation"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "S&#46;W&#46; Watt-Boolsen"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Surg"
                        "fecha" => "1981"
                        "volumen" => "141"
                        "paginaInicial" => "721"
                        "paginaFinal" => "724"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7246864"
                            "web" => "Medline"
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Journal Information
Vol. 33. Issue 2.
Pages 84-88 (February 1997)
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Vol. 33. Issue 2.
Pages 84-88 (February 1997)
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Tratamiento quirúrgico del bocio cervicomediastínico
Surgical treatment of cervicomediastinal goiters
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3686
A. Álvarez Kindelán*, F. Cerezo Madueño, C. Baamonde Laborda, A. Salvatierra Velázquez, F. Javier López Pujol
Servicio de Cirugía Torácica. Hospital Regional Universitario Reina Sofía. Córdoba
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El objetivo de este estudio ha sido revisar nuestra experiencia en el tratamiento quirúrgico del bocio cervicomediastínico.

Se han estudiado retrospectivamente los pacientes con bocio cervicomediastínico operados en los últimos 10 años, analizando los datos relativos a sus antecedentes, clínica, métodos de diagnóstico, tratamiento quirúrgico y evolución postoperatoria.

Veintiocho pacientes, 19 mujeres y 9 varones, de 62 ± 2 años de edad se han incluido en el estudio. De los pacientes con clínica compresiva (75,6%), la disnea fue el síntoma más frecuente (36,6%), seguida de la disfagia y el síndrome de vena cava superior.

Sólo en 3 casos (11,2%) se evidenció un patrón funcional de obstrucción extratorácica. La gammagrafía mostró un aumento de tamaño del tiroides en 25 casos, de éstos, nueve presentaban además nodulo frío. La punción tiroidea se realizó en 5 enfermos, demostrando en uno malignidad.

Se realizó una fibrobroncoscopia en 15, encontrando compresión traqueal en 7 casos (25%). En éstos no hubo mayor incidencia de complicaciones postoperatorias.

En 23 casos (82,1%) se realizó una cervicotomía, una cervicosternotomía en cuatro (14%) y una toracotomía en uno (3,6%). En 15 pacientes (53,6%) se realizó tiroidectomía subtotal bilateral, total en tres (10,7%), derecha en seis (21,4%) e izquierda en cuatro (14,3%). El bocio coloide fue el tipo histológico más frecuente (42,8%), seguido de hiperplasia nodular (35,8%), cáncer (10,7%) y adenoma (10,7%).

En el postoperatorio, 3 pacientes presentaron paresia recurrencial transitoria, y otros 3 casos sufrieron complicaciones mayores: una hemorragia postoperatoria y 2 traqueomalacias que requirieron traqueotomía.

El bocio cervicomediastínico es una entidad que puede presentar síntomas compresivos traqueales y/o esofágicos. En nuestra serie, la mayor parte han sido resecables por cervicotomía, siendo más frecuentes los bocios coloides seguidos de la hiperplasia nodular. No hubo relación entre el tipo de tiroidectomía y la incidencia de complicaciones.

Palabras clave:
Bocio cervicomediastínico
Tiroidectomía
Complicaciones postoperatorias

To review our experience with the surgical treatment of cervicomediastinal goiters.

Charts of patients with cervicomediastinal goiters undergoing thyroidectomy within the last 10 years were reviewed. Data regarding previous disease, clinical features, diagnostic procedures, surgical intervention and postoperative evolution were recorded.

Twenty-eight patients (19 female and 9 male) 62 ± 2 years oíd underwent surgery to treat cervicomediastinal goiter during the period reviewed. Among patients with compressive manifestations (75.6%), dyspnea was the most common (36.6%) symptom, followed by dysphagia and superior vena cava syndrome. An extrathoracic obstruction pattern was found in 3 (11.2%) cases. Thyroid scintigraphy showed increased thyroid size in 25 patients, and in 9 of them a coid nodule was present as well. Fine needle aspiration of the thyroid gland was performed in 5 patients; malignancy was found only in 1 case. Fiberoptic bronchoscopy was performed in 15 patients; in 7 (25%) tracheal compression was found. In these patients there was no higher rate of postoperative complications.

Cervicotomy was the surgical approach used in 23 (82.1%) patients. Cervicosternotomy was used in 4 (14%), and thoracotomy in 1 (3.6%). The surgical procedure was bilateral subtotal thyroidectomy in 15 (53.6%), total thyroidectomy in 3 (10.7%), right lobectomy in 6 (21.4%), and left lobectomy in 4 (14.3%). Colloid goiter was the most common histological type (42.8%), followed by nodular hyperplasia (35.8%), cancer (10.7%) and adenoma (10.7%). Three patients showed transient recurrent paralysis in the postoperative period, and another 3 patients presented major complications: 1 case of postoperative bleeding and 2 cases of tracheomalacia requiring tracheostomy.

Cervicomediastinal goiter is a disease that may involve compressive symptoms. In our experience, most cases were resected through cervicotomy, colloid goiter and the nodular hyperplasia being the most common histological types. There was no relationship between surgical procedure and the incidence of complications.

Key words:
Cervicomediastinal goiter
Thyroidectomy
Postoperative complications
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Bibliografía
[1.]
M.A. De Andrade.
A review of 128 cases of posterior mediastinal goiter.
World J Surg, 1 (1977), pp. 789-797
[2.]
D.M. Shahian.
Surgical treatment of intrathoracic goiter.
Surgery of the thyroid and parathyroid glands, pp. 215-222
[3.]
T.S. Hall, P. Caslowitz, C. Popper.
Substernal goiter versus intrathoracic aberrant thyroid: a critica! difference.
Ann Thorac Surg, 46 (1988), pp. 684-687
[4.]
D.M. Shahian, R.L. Rossi.
Posterior mediastinal goiter.
Chest, 94 (1988), pp. 599-602
[5.]
M.R. Katlic, H.C. Grillo, Ca. Wang.
Substernal goiter: analysis of 80 patients from Massachusetts General Hospital.
Am J Surg, 149 (1985), pp. 283-287
[6.]
L.L. Creswell, S.A. Wells Jr..
Mediastinal masses originating in the neck.
Chest Surg Clin North Am, 2 (1992), pp. 23-29
[7.]
S. Madjar, D. Weissberg.
Retrosternal goiter.
Chest, 108 (1995), pp. 78-82
[8.]
L.E. Sanders, R.L. Rossi, D.M. Shahian, W.A. Williamson.
Mediastinal goiters: the need of an aggressive approach.
Arch Surg, 127 (1992), pp. T609-T613
[9.]
T.W. Shields.
Thyroid.
Thoracic surgery, pp. 1.454-1.464

[10.]
M. Dahan, J. Gaillard, H. Eschapase.
Surgical treatment of goiters with intrathoracic development Thoracic surgery: frontiers uncommon neoplasms.
International trends in general thoracic surgery, pp. 5
[11.]
G.M. Gazer, L. Axel, A.A. Moss.
CT diagnosis of mediastinal thyroid.
Am J Rheum, 138 (1982), pp. 495-498
[12.]
B. Bashist, K. Ellis, R.P. Gold.
Computed tomography of intrathoracic goiters.
Am J Rheum, 140 (1983), pp. 455-458
[13.]
C.P.G. Wakeley, J.H. Mulvany.
Intrathoracic goiter.
Surg Gynecol Obstet, 70 (1940), pp. 702-707
[14.]
R.J. Landreneau, W. Nawarawong, T.M. Boley, J.A. Johnson, J.J. Curtis.
Intrathoracic goiter: approaching the posterior mediastinal mass.
Ann Thorac Surg, 52 (1991), pp. 134-136
[15.]
M. Moumen, M. Menhane, H. Nawfik, F. El Fares.
Intrathoracic goiter.
Apropos of 36 cases. J Chir, 127 (1990), pp. 22-26
[16.]
F. Ziad, J. Lacasa, R. Serrano, R. Aznar, J. Garrapiz.
Síndrome de la vena cava superior secundario a bocio benigno intratorácico: presentación de un caso y revisión de la literatura.
Rev Clin Esp, 187 (1990), pp. 233-235
[17.]
K. Cengiz, A. Aykin, A. Demirci, B. Diren.
Intrathoracic goiter with hyperthyroidism, tracheal compression, superior vena cava syndrome, and Horner's syndrome.
Chest, 97 (1990), pp. 1.005-1.006
[18.]
A.R. Shaha, A.E. Alfonso, B.M. Jaffe.
Operative treatment of substernal goiters.
Head and Neck, 11 (1989), pp. 325-328
[19.]
M.D. Allo, N.W. Thompson.
Rationale for operative management of substernal goiters.
Surgery, 94 (1983), pp. 969-973
[20.]
N.N. Al-Suliman, H.P. Graversen, M. Blichert-Toft.
Intrathoracic goiter.
Diagnostic aspects, surgical complications and permanent sequelae. Ugeskr Laeger, 156 (1994), pp. 1.646-1.649
[21.]
H. Lilienthal.
A case of mediastinal thyroid removed by transternal mediastinotomy.
Surg Gynecol Obstet, 20 (1915), pp. 589-591
[22.]
H.C. Urschel.
Comment to: Shields TW. Thyroid.
Thoracic surgery, pp. 1.463
[23.]
S.W. Watt-Boolsen.
Surgical treatment of benign nontoxic intrathoracic goiter: a long-term observation.
Am J Surg, 141 (1981), pp. 721-724
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