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Maie A. R. St. John, MD, PhD; Robert B. Lufkin, MD; Elliot Abemayor, MD, PhD
University of California, Los Angeles, UCLA School of Medicine

Arch Otolaryngol Head Neck Surg. 2004;130:1443.

	Since this article does not have an abstract, we have provided the first 94 words of the full text and any section headings.

A 68-year-old woman with a long-standing history of an enlarging multinodular goiter that was refractory to medical suppression presented with increasing dysphagia. Radiologic evaluation revealed a substernal component (Figure 1). The patient successfully underwent a total thyroidectomy. Pathologic analysis revealed 2 foci of well-contained papillary thyroid carcinoma involving the right lobe, with no tumor evident within the left lobe. Postoperatively, the patient has done well and has no dysphonia or dysphagia.

Figure appears in full text version. Figure 1.

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SECTION EDITORS: R. NICK BRYAN, MD; PATRICIA A. HUDGINS, MD

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