2001, Number 4
Surgical management of thyroid nodules
González AMA, Romero LMR, Díaz de León FCF, Moreno GJS
Full text
Language: Spanish
References: 12
Page: 152-155
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ABSTRACT
A thyroid nodule is clinically defined as a well-delimited macroscopic neoformation localized in the thyroid gland. It has to be studied by a protocol in which endocrinologists, radiologists, pathologists and surgeons must intervene. The results of a retrospective study realized in the “Gonzalo Castañeda” General Hospital, are presented including incidence, diagnostic methods, and surgical treatment. Between July 1994 and December 1999, 30 patients with diagnosis of thyroid nodule were operated upon. The age rate was between 20 and 71 years, 28 women and two men. The principal symptoms were increased volume of the neck hyperthyroidism disphagia and hypothyroidism. The laboratory and radiological tests were: thyroid function tests, thyroid gammagraphy, ultrasound, esophago-gastric-duodenal series and fine needle aspiration cytology. The histological reports were: follicular adenoma 30%, multinodular goiter 10%, negative to malignancy 10%, thyroid cyst 6.6%, epithelial cells in 6.6%, hyperplasic diffuse goiter 3.3% and inadequate sample 33.3%. Hemithyroidectomy was done in 66% of the patients, total thyroidectomy in 33.3%. Complications include: transitory hypocalcemia (10%), hypoparathyroidism (26.6%) and dysphonia (6.6%). The final result was: follicular adenoma 43.3%, multinodular goiter 23.3%, diffuse goiter 13.3%, fetal adenoma 6.6% and chronic thyroiditis 6.6%. Malignancy was reported in 6.6%, 1 case of follicular carcinoma and 1 case of papillary carcinoma. The relation between fine needle aspiration cytology and definitive result was 53.3%.REFERENCES