Retrosternal goitre - A need for multidisciplinary management

Retrosternal goiter (RSG) is defined as any goiter, with 50% of its mass situated below the thoracic inlet. It can be primary or secondary. Secondary RSGs are seen more commonly and are due to mediastinal extension of the neck mass. Primary RSG arise in the mediastinum without any neck component. Patients with RSG can present with neck swelling, dyspnea, dysphagia, hoarseness, or chest discomfort. The diagnosis is usually made on clinical examination and confirmed by radiological investigation. Surgical management is the primary modality of treatment for RSG. Here, we report the case of a 40-year-old female diagnosed with colloid goiter with huge retrosternal extension who was managed surgically by combined neck and sternotomy approach.