A large toxic retrosternal goiter is best treated by-: (A) Antithyroid drugs, (B) Radio iodine, (C) Surgical resection, (D) Lugol's iodine
Answer is C. Retrosternal goitre is most commonly defined as one that either descends below the thoracic inlet, or has more than 50% of its volume below this level. Surgery is the only effective treatment for retrosternal goitres. In most cases, suppressive therapy with thyroxine is ineffective in reducing the size of multinodular goitres ; radio-iodine therapy is both generally ineffective in large goitres and may induce acute inflammation and swelling of the gland with the potential for airway obstruction. Ref - <a href="