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A 50-year-old woman was admitted to our institute because of a large tumour in her neck. This patient had been diagnosed with thyroid goitre for 5 years, but no treatment was administered. No specific medical history was noted. A large mass in the neck region was found during clinical examination, which restricted neck movement. Computed tomography revealed a diffuse, large, multinodular goitre with tracheal compression. Results from the fine-needle aspiration procedure showed benign cytology. Laboratory tests revealed normal results, including serum thyroid-stimulating hormone, free triiodothyronine, and free thyroxine levels. The patient underwent surgery for the removal of the entire thyroid tumour. The patient's postoperative period was uneventful. The patient was discharged on the 5th postoperative day. In conclusion, surgical management remains the standard treatment for giant thyroid tumours with compressive symptoms. Careful dissection and awareness of the high risk of postoperative complications in these cases are crucial for achieving good outcomes.