Retrosternal goiter and thymic carcinoid: A rare co-existence

Retrosternal goiter is diagnosed when more than 50% of the thyroid gland extends below the thoracic inlet. Surgery is the treatment of choice. Carcinoid tumor of thymus gland is very rare. Although both conditions develop in the anterior mediastinum, literature search revealed no patient having both lesions at the same time. Reported herein, is a 55-year old Iraqi man with retrosternal multinodular goiter and a localized solitary primary thymic carcinoid. Thymic tumor was simultaneously removed along right thyroid lobectomy via median sternotomy extended to the neck. Early outcome was good. The patient had no evidence of recurrence after surgery.