%0 Journal Article
%T Surgical management of anterior mediastinal tumors of thyroid origin: a comprehensive analysis of approaches, techniques, and outcomes.
%A Yankov G
%A Alexieva M
%A Yamakova Y
%A Kyuchukov D
%A Mekov E
%J J Cardiothorac Surg
%V 19
%N 1
%D 2024 Jun 21
%M 38907269
%F 1.522
%R 10.1186/s13019-024-02831-7
%X <B>BACKGROUND: </B>This manuscript aims to describe the symptoms, demographics, surgical approaches and techniques, the volume of surgical interventions, histological results, intra- and postoperative complications, and postoperative results in patients with anterior mediastinal tumors of thyroid origin (AMTTO).<BR><B>METHODS: </B>Twenty patients with AMTTO were operated between 2017 and 2021. Fifteen were women and 5 were men. The mean age was 66.8 years.<BR><B>RESULTS: </B>The most common histology was nodular micro- and macrofollicular goiter (15/20, 75%). Kocher cervicotomy (65%) was the preferred approach. Total thyroidectomy was performed in 95% of patients. Intraoperative complications were identified in 25% (5/20), and in 2 patients a tracheostomy was required. Early postoperative complications were established in 65% and the most common was unilateral transient recurrent nerve paresis or paralysis and dysphonia (25%).<BR><B>CONCLUSIONS: </B>Commonly resection of AMTTO is a challenge due to its complexities associated with high-risk cases, emphasizing the need for experienced centers in managing such cases.