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We present a 57-year-old woman who has a giant mediastinal goiter, which lies down from cervical zone to right posterior mediastinum. On physical examination mediastinal goiter was nonpalpable. Giant mediastinal goiter was removed by right lateral thoracotomy, cervical collar incision and partial sternotomy. Pathology was reported as a multinodular goiter. We cannot perform VATS (video-assisted thoracoscopy) due to tight adhesion of the pleura. With the difference of literature partial sternotomy can be added to the transcervical and lateral thoracotomy approach for ease of removing giant posterior mediastinal goiters which lie down left cervical to the right posterior mediastinum.

How to remove giant mediastinal goiter from left to right?