case_images: PMC10853013_01
case_images: Cervicotomy with medial partial sternotomy visualizing diffuse nodular goiter.
case_images: cureus-0016-00000051967-i01.jpg
case_images: PMC10853013_01_cureus-0016-00000051967-i01.jpg
case_images: FIG1
case_images: The surgery began with a median cervical approach, revealing diffuse nodules and inferior protrusion to the mediastinum (Figure 1).
case_images: Post-operative chest X-ray shows partial median sternotomy closed with stainless steel wire sutures.
case_images: cureus-0016-00000051967-i02.jpg
case_images: PMC10853013_01_cureus-0016-00000051967-i02.jpg
case_images: FIG2
case_images: A total thyroidectomy with preservation of the parathyroid glands was performed without intraoperative complications and the partial median sternotomy was closed with stainless steel wires (Figure 2).
case_images: Giant substernal goiter measuring 22.5 cm in its largest extension.
case_images: cureus-0016-00000051967-i03.jpg
case_images: PMC10853013_01_cureus-0016-00000051967-i03.jpg
case_images: FIG3
case_images: The gross specimen sent to histopathology consisted of two conjugated thyroid lobules, the greater lobule measured 13.0 x 6.0 x 5.2 cm while the lesser one measured 9.5 x 6.0 x 5.2 cm (Figure 3).