Surgery for Intrathoracic Goitres

Intrathoracic goitre is (ITG) defined as an enlarged thyroid gland extending into the mediastinum. This may present to the surgeon for diagnostic and/or therapeutic purposes. Challenges specific to this condition include patient evaluation, determination of the risk of malignancy within the multiple nodules of the gland, selecting patients who require surgical management and planning a surgical approach to deal with the disease process or processes without undue risk of complications.