This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Thyroid Gland, Subject name: Surgery
Best surgical approach in accessing retrosternal goiter is: 
Select and explain. 
A. Cervical, B. Sternal, C. Intercostal, D. VATS
A: Cervical
Answer: A: Cervical 
Explanation: Ans. (a) CervicalRef: Bailey and Love 27th Edition, Page 811Mediastinal goiter can be divided into* Primary - Only <1% of mediastinal goiters, arising from ectopic thyroid tissue in mediastinum with blood supply from mediastinal vessels.* Secondary - Majority of mediastinal goiters due to extension of thyroid from neck with blood supply from thyroid arteries.Treatment:* Mediastinal goiter can be removed by Neck incision most of the times except in few cases like suspected thyroid cancers, Primary mediastinal goiters and previous neck surgeries.