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Abstract

Enlarged nodular goiters are becoming increasingly infrequent. They are still common in certain geographical areas and can present with compressive symptoms to the trachea, oesophagus and recurrent laryngeal nerve. Surgical treatment of enlarge goiter involves a high degree of skill which can lead to serious complications. We present a case 73 year old female patient who had huge enlarged multinodular goiter for more than 15 years. Surgery was planned and thyroidectomy was done. Surgical excision resolved the local symptoms. Histopathological examination revealed papillary carcinoma with multiple cysts and areas of haemorrhage and necrosis.