The use of computed tomography in the evaluation of large multinodular goitres
This study reports one unit's experience of the value of computed tomography (CT) in the evaluation of 24 patients with large cervical and retrosternal goitres. Of these patients, 17 were thought clinically to have symptoms of tracheal compression, but the CT demonstrated significant narrowing...
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| Veröffentlicht in: | Annals of the Royal College of Surgeons of England 1991-01, Vol.73 (1), p.32-35 |
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| creator | Cooper, J C Nakielny, R Talbot, C H |
| description | This study reports one unit's experience of the value of computed tomography (CT) in the evaluation of 24 patients with large cervical and retrosternal goitres. Of these patients, 17 were thought clinically to have symptoms of tracheal compression, but the CT demonstrated significant narrowing in only 12 cases. In the other five patients, surgery was deferred and other causes for their symptoms sought and treated. Seven patients were asymptomatic and CT failed to reveal any evidence of tracheal compression in six. In the remaining patient, however, CT revealed gross narrowing and urgent surgery was performed. When compared with CT, chest/thoracic inlet radiographs were misleading in 48% of patients, with tracheal narrowing being overestimated and underestimated. We conclude that CT gives useful information about tracheal compression in patients with large multinodular goitres, and is more accurate than chest/thoracic inlet radiographs. |
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Of these patients, 17 were thought clinically to have symptoms of tracheal compression, but the CT demonstrated significant narrowing in only 12 cases. In the other five patients, surgery was deferred and other causes for their symptoms sought and treated. Seven patients were asymptomatic and CT failed to reveal any evidence of tracheal compression in six. In the remaining patient, however, CT revealed gross narrowing and urgent surgery was performed. When compared with CT, chest/thoracic inlet radiographs were misleading in 48% of patients, with tracheal narrowing being overestimated and underestimated. We conclude that CT gives useful information about tracheal compression in patients with large multinodular goitres, and is more accurate than chest/thoracic inlet radiographs.</description><identifier>ISSN: 0035-8843</identifier><identifier>EISSN: 1478-7083</identifier><identifier>PMID: 1996861</identifier><language>eng</language><publisher>England: Royal College of Surgeons of England</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Female ; Goiter, Nodular - complications ; Goiter, Nodular - diagnostic imaging ; Goiter, Nodular - pathology ; Humans ; Male ; Middle Aged ; Thyroid Gland - pathology ; Thyroidectomy ; Tomography, X-Ray Computed ; Tracheal Stenosis - diagnostic imaging ; Tracheal Stenosis - etiology</subject><ispartof>Annals of the Royal College of Surgeons of England, 1991-01, Vol.73 (1), p.32-35</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2499357/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2499357/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/1996861$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cooper, J C</creatorcontrib><creatorcontrib>Nakielny, R</creatorcontrib><creatorcontrib>Talbot, C H</creatorcontrib><title>The use of computed tomography in the evaluation of large multinodular goitres</title><title>Annals of the Royal College of Surgeons of England</title><addtitle>Ann R Coll Surg Engl</addtitle><description>This study reports one unit's experience of the value of computed tomography (CT) in the evaluation of 24 patients with large cervical and retrosternal goitres. Of these patients, 17 were thought clinically to have symptoms of tracheal compression, but the CT demonstrated significant narrowing in only 12 cases. In the other five patients, surgery was deferred and other causes for their symptoms sought and treated. Seven patients were asymptomatic and CT failed to reveal any evidence of tracheal compression in six. In the remaining patient, however, CT revealed gross narrowing and urgent surgery was performed. When compared with CT, chest/thoracic inlet radiographs were misleading in 48% of patients, with tracheal narrowing being overestimated and underestimated. We conclude that CT gives useful information about tracheal compression in patients with large multinodular goitres, and is more accurate than chest/thoracic inlet radiographs.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Female</subject><subject>Goiter, Nodular - complications</subject><subject>Goiter, Nodular - diagnostic imaging</subject><subject>Goiter, Nodular - pathology</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Thyroid Gland - pathology</subject><subject>Thyroidectomy</subject><subject>Tomography, X-Ray Computed</subject><subject>Tracheal Stenosis - diagnostic imaging</subject><subject>Tracheal Stenosis - etiology</subject><issn>0035-8843</issn><issn>1478-7083</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1991</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkE1LxDAURYMo4zj6E4Ss3BWSNs3HRpBBHWHQzbguafLaibRNbZKB-fdWHERXl8c7nAv3DC0pEzITRBbnaElIUWZSsuISXYXwQQhVQtIFWlCluOR0iV53e8ApAPYNNr4fUwSLo-99O-lxf8RuwHEm4KC7pKPzwzfY6akF3KcuusHbNJ-49S5OEK7RRaO7ADenXKH3p8fdepNt355f1g_bbMw5jZklQDQ3pclBKM25apiyUualBEqMNYSCsaKuGw3UWioEYRZKDpQRo4ipixW6__GOqe7BGhjipLtqnFyvp2Pltav-fwa3r1p_qHKmVFGKWXB3Ekz-M0GIVe-Cga7TA_gUKklYmTPKZ_D2b9NvxWnB4gvkGHDt</recordid><startdate>199101</startdate><enddate>199101</enddate><creator>Cooper, J C</creator><creator>Nakielny, R</creator><creator>Talbot, C H</creator><general>Royal College of Surgeons of England</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>199101</creationdate><title>The use of computed tomography in the evaluation of large multinodular goitres</title><author>Cooper, J C ; Nakielny, R ; Talbot, C H</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p261t-d0e0a6c5c2e79a669f49d88258e10cdc01ecd7bbfae1dd17704de56e140c90cb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1991</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Female</topic><topic>Goiter, Nodular - complications</topic><topic>Goiter, Nodular - diagnostic imaging</topic><topic>Goiter, Nodular - pathology</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Thyroid Gland - pathology</topic><topic>Thyroidectomy</topic><topic>Tomography, X-Ray Computed</topic><topic>Tracheal Stenosis - diagnostic imaging</topic><topic>Tracheal Stenosis - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cooper, J C</creatorcontrib><creatorcontrib>Nakielny, R</creatorcontrib><creatorcontrib>Talbot, C H</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Annals of the Royal College of Surgeons of England</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cooper, J C</au><au>Nakielny, R</au><au>Talbot, C H</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The use of computed tomography in the evaluation of large multinodular goitres</atitle><jtitle>Annals of the Royal College of Surgeons of England</jtitle><addtitle>Ann R Coll Surg Engl</addtitle><date>1991-01</date><risdate>1991</risdate><volume>73</volume><issue>1</issue><spage>32</spage><epage>35</epage><pages>32-35</pages><issn>0035-8843</issn><eissn>1478-7083</eissn><abstract>This study reports one unit's experience of the value of computed tomography (CT) in the evaluation of 24 patients with large cervical and retrosternal goitres. Of these patients, 17 were thought clinically to have symptoms of tracheal compression, but the CT demonstrated significant narrowing in only 12 cases. In the other five patients, surgery was deferred and other causes for their symptoms sought and treated. Seven patients were asymptomatic and CT failed to reveal any evidence of tracheal compression in six. In the remaining patient, however, CT revealed gross narrowing and urgent surgery was performed. When compared with CT, chest/thoracic inlet radiographs were misleading in 48% of patients, with tracheal narrowing being overestimated and underestimated. We conclude that CT gives useful information about tracheal compression in patients with large multinodular goitres, and is more accurate than chest/thoracic inlet radiographs.</abstract><cop>England</cop><pub>Royal College of Surgeons of England</pub><pmid>1996861</pmid><tpages>4</tpages></addata></record> |
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| identifier | ISSN: 0035-8843 |
| ispartof | Annals of the Royal College of Surgeons of England, 1991-01, Vol.73 (1), p.32-35 |
| issn | 0035-8843 1478-7083 |
| language | eng |
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| source | MEDLINE; PubMed Central; Alma/SFX Local Collection; EZB Electronic Journals Library |
| subjects | Adult Aged Aged, 80 and over Female Goiter, Nodular - complications Goiter, Nodular - diagnostic imaging Goiter, Nodular - pathology Humans Male Middle Aged Thyroid Gland - pathology Thyroidectomy Tomography, X-Ray Computed Tracheal Stenosis - diagnostic imaging Tracheal Stenosis - etiology |
| title | The use of computed tomography in the evaluation of large multinodular goitres |
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