detailed recognition of goitre type and assessment of the site and extent of the intramediastinal portion , together with determination of the existence of intra- and extraparenchymal inflammation or degeneration or other signs of disease , are an essential differential overture to the choice of a surgical approach route ( cervical , cervical-mediastinal with median sternotomy , transthoracic ) and the appraisal of prognosis .
C0018021
goitre
C0027530
cervical