A large toxic retrosternal goiter is best treated by-
Correct Answer: Surgical resection
Description: 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="
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