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A female patient is reported in whom the preliminary diagnosis was mediastinal goitre. During the operation retrosternal goitre was found to be associated with mediastinal tumour diagnosed histologically as lipoma.
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AIM: The aim of the study was to assess the prevalence of thyroid enlargement by ultrasonic volume measurements. RESULTS: 1336 adults living in the iodine-deficient area of Aachen, West Germany (760 females, 576 males, mean age: 54.05 +/- 16.09 years) were included in the investigation. The ultrasonic examination was carried out in patients who did not suffer from thyroid disease at the time of study. RESULTS: The thyroid volume was age-dependent and varied from 13.3 +/- 10.4 ml in patients < 21 years to 29.9 +/- 24.3 ml in patients > 70 years. The prevalence of thyroid enlargement ranged from 14.3% in young people to 51.3% in the elderly. There was no difference in the volumes of the left and right thyroid lobe. The prevalence of thyroid enlargement was higher in females compared to males (p < 0.05). Retrosternal thyroid mass was detected in 25% of all patients > 70 years. CONCLUSION: There is evidence of a high prevalence of thyroid enlargement in iodine-deficient areas.