NICK R.BRYANMDPATRICIA A.HUDGINSMD
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A 68-year-old woman with a long-standing history of an enlarging multinodular goiter that was refractory to medical suppression presented with increasing dysphagia. Radiologic evaluation revealed a substernal component (Figure 1). The patient successfully underwent a total thyroidectomy. Pathologic analysis revealed 2 foci of well-contained papillary thyroid carcinoma involving the right lobe, with no tumor evident within the left lobe. Postoperatively, the patient has done well and has no dysphonia or dysphagia.
St. John MAR, Lufkin RB, Abemayor E. Radiology Quiz Case 2. Arch Otolaryngol Head Neck Surg. 2004;130(12):1443. doi:10.1001/archotol.130.12.1443