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Surgery NEET Jan 2020 6b5a1a7c

Which of the following statements is true regarding retrosternal goiters?

A
Operated only if patient is symptomatic
B
Sternal incision is always required
C
Majority of the giotres derive their blood supply from mediastinal vessels
D
Majority of the retrosternal giotres can be removed by a neck incision
High-Yield Explanation
Retrosternal goiter / substernal goiter / Mediastinal goiter Majority(>95%) of the retrosternal goitres can be removed by a neck incision If > 50% of thyroid tissue is located below the opening of thoracic cage MC symptom - Dyspnea Dysphagia Hoarseness of voice Dilated veins over Anterior chest wall. PEMBEON sign- positive If bilateral upper limb elevated above forehead, facial puffiness and facial congestion seen

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