TY - JOUR AR - AJSCR-2020-1-108 TI - Huge Dual Ectopic Retroternal Thyroid Masses within a Single Capsule: A Case Report AU - Mohamed, Shafik Elkahwagy AU - Mona, Mogahed AU - Salim, Saeid Basalama AU - Taha Saad, M Alnomani JO - American Journal of Surgical Case Reports PY - 2020 DA - Mon 02, Mar 2020 SN - 2674-5046 DO - http://dx.doi.org/10.31487/j.AJSCR.2020.01.08 UR - https://www.sciencerepository.org/huge-dual-ectopic-retroternal-thyroid-masses_AJSCR-2020-1-108 KW - Total thyroidectomy, retrosternal, ectopic, thyroid, goiter AB - Background: Goiter sometimes has retrosternal extension in the mediastinum. And may present with compressive symptoms such as dyspnea, dysphagia, dysphonia or sleep apnea. Treatment of choice is total thyroidectomy and removal of the intrathoracic portion of thyroid. However, these cervicomediastinal masses may be separately encapsulated, and a sternotomy may be required for complete and safe excision of the mediastinal mass to achieve decompression of the surrounding structures and preventing the hemorrhagic complications if attempted from cervical incision