Giant multinodular goiter. Case report and literature review

Abstract

Introduction. Thyroid pathology ranges from benign processes to cancers. The medical-surgical management of the giant goiter involves performing cytological and imaging studies. The objective of this article was to review the literature and present a treated case of giant multinodular goiter. Methods. This article reviews the literature on the subject in question regarding the case of a 54-year-old female patient who underwent surgery for multinodular goiter, with satisfactory evolution. Results. The patient was intervened electively, excising a 658 gram thyroid, preserving the recurrent laryngeal nerves and the parathyroid glands. A meticulous hemostasis was performed and the patient was transferred to the Intensive Care Unit. After 3 days, both cervical drains were removed, and the patient was discharged after 8 days. The paraffin biopsy corroborated the preoperative diagnosis. Discussion. Indications for surgical treatment of goiter include: rapid gland growth, compressive symptoms, and suspected malignancy. Complications are minimal when a very meticulous technique is performed. Conclusion. Giant multinodular goiter is rare, and in all cases, requires surgical intervention.