Retrosternal goiter involving the Zuckerkandl tubercle

Case contributed by Dr Chris O'Donnell

Presentation

Incidental finding in an elderly patient having CTPA

Patient Data

Age: 80
Gender: Female

Heterogeneous mass sitting posterior to the trachea and to the right of the esophagus represents a multinodular goiter involving the accessory lobe of Zuckerkandl that has passed into the mediastinum.

Case Discussion

This is a typical finding and very important for the surgeon to recognize as the isthmus connection to the right lobe (usually seen arising on the right) is narrow and easily missed on dissection leaving a large mass of functioning thyroid tissue that can continue to grow leading to recurrence of compressive symptoms.

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Case information

rID: 28784
Published: 11th Apr 2014
Last edited: 14th Aug 2019
System: Head & Neck
Inclusion in quiz mode: Included

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