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ISSN 1727-897X (Electronic)

2015, Number 5

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Medisur 2015; 13 (5)

Clinical and epidemiological clinical and epidemiological characteristics of colloid goiter patients undergoing reoperation for recurrent thyroid disease

Iglesias DG, García GI, Correa ML

Language: Spanish
References: 15
Page: 622-629
PDF size: 366.13 Kb.


ABSTRACT

Background: thyroid disease is one of the most prevalent medical conditions and thyroid cancer is the most common endocrine neoplasm. Thyroid reoperations are more common than it might seem.
Objective: to establish the clinical and epidemiological characteristics of patients operated on for colloid goiter undergoing reoperation for recurrent thyroid disease.
Methods: a case-series study was conducted at the "León Cuervo Rubio" Clinical-Surgical Hospital in Pinar del Rio. The sample included all patients (n=29) who underwent thyroid operation and were reoperated on for recurrent thyroid disease in 2010, 2011 and 2012. The information was obtained from medical records and the register of histopathological diagnoses.
Results: most patients (27.6%) were in the 40-49 age group and females (79.3%) were most affected. Recurrence was observed 5 to 9 years after surgery. Mixed nodules (55.2%) followed by cysts (17.2%) were the most frequent ultrasound diagnoses. Recurrent thyroid disease was malignant in 9% of patients.
Conclusions: patients reoperated on for thyroid disease were mostly females in the fourth and fifth decade of life. The disease recurred in a period of 10 years after the first surgery in a greater number of cases. Follicular-patterned lesions, colloid goiter and cancer were the most common histologic diagnosis.


REFERENCES

  1. Duntas L, Amino N, Hay I, McDermott M, Peeters R, Vaismann M, et al. Thyroid Disorders, Noncommunicable Diseases That Gravely Impact Public Health: A Commentary and Statement by the Advisory Board of the World Thyroid Federation. Thyroid. 2012 ; 22 (6): 566-7.

  2. Granados García M, Estrada Lobato E, Apodaca Cruz A. Cáncer diferenciado de la tiroides: aspectos generales. Cancerología [revista en Internet]. 2009 [ cited 7 Sep 2014 ] ; 4 (2): [aprox. 11p]. Available from: http://www.incan.org.mx/revistaincan/elementos/ documentosPortada/1257541527.pdf.

  3. Domínguez E, Seuc A, Galán Y, Navarro D, Tuero A. Mortalidad y años de vida potencial perdidos por cáncer de tiroides: Cuba: años 1990, 1995, 2000 y 2004. Rev Cubana Endocrinol [revista en Internet]. 2007 [ cited 7 Sep 2014 ] ; 18 (2): [aprox. 12p]. Available from: http://www.bvs.sld.cu/revistas/end/vol18_2_07/en d02207.html.

  4. Ministerio de Salud Pública. Anuario Estadístico de Salud 2012. La Habana: MINSAP; 2013.

  5. Iglesias Díaz G, Lau López AE, García García I. Incidencia del cáncer de tiroides en la consulta central de tiroides, últimos nueve años en Pinar del Río. Rev Ciencias Médicas [revista en Internet]. 2008 [ cited 7 Sep 2014 ] ; 12 (1): [aprox. 11p]. Available from: http://scielo.sld.cu/scielo.php?script=sci_arttext& pid=S1561-31942008000100013&lng=es.

  6. Jiménez AA, Rodríguez A. Manual de técnicas quirúrgicas. La Habana: Editorial Ciencias Médicas; 2008. p. 190.

  7. Larrad Jiménez A, Ramos García MI. Seguimiento tras hemitiroidectomía ¿Qué Sucede?. Archivos de Cirugía General y digestiva [revista en Internet]. 2002 [ cited 7 Sep 2014 ] (1): [aprox. 20p]. Available from: http://www.sc.ehu.es/scrwwwsr/kirurgia/Kirurgia2 003b/larrad.htm.

  8. Barczyński M, Konturek A, Stopa M, Cichoń S, Richter P, Nowak W. Tiroidectomía total para enfermedad tiroidea benigna ¿Vale realmente la pena?. Ann Surg. 2011 ; 254 (5): 724-30.

  9. Kurmann A, Herden U, Schmid SW, Candinas D, Seile CA. Morbidity rate of reoperation in thyroid surgery: a different point of view. Swiss Med Wkly. 2012 ; 142: w13643.

  10. Prieto Butillé MR. Estudio de la extensión de la tiroidectomía para el tratamiento del bocio multinodular asimétrico [Tesis]. Barcelona: Universidad Autónoma de Barcelona; 2013. [ cited 7 Sep 2014 ] Available from: http://www.tdx.cat/bitstream/handle/10803/1215 90/mrpb1de1.pdf?sequence=1.

  11. Matamoros Pérez PL, Rodríguez Ramírez R, de los Reyes Ur A, Goderich Lalán JM, Benítez Ramírez R. Diagnóstico y tratamiento quirúrgico de la enfermedad nodular del tiroides. MEDISAN [revista en Internet]. 1999 [ cited 7 Sep 2014 ] ; 3 (1): [aprox. 11p]. Available from: http://bvs.sld.cu/revistas/san/vol3_1_99/san0619 9.html.

  12. Accetta P, Accetta I, Accetta AC, de Araújo MS, Accetta R, Borba K. Total thyroidectomy for benign thyroid diseases. Rev Col Bras Cir [revista en Internet]. 2011 [ cited 7 Sep 2014 ] ; 38 (4): [aprox. 9p]. Available from: http://www.scielo.br/scielo.php?script=sci_arttext &pid=S0100-69912011000400004&lng=en.

  13. Villegas Sepúlveda L, Hernández Loya AJ. Seguimiento de pacientes con cáncer de tiroides tratados con tiroidectomía y hormona estimulante de tiroides recombinante humana. Rev Esp Méd Quir [revista en Internet]. 2013 [ cited 7 Sep 2014 ] ; 18 (2): [aprox. 11p]. Available from: http://www.redalyc.org/articulo.oa?id=47327854 001.

  14. Efremidou EI, Papageorgiou MS, Liratzopoulos N, Manolas KJ. The efficacy and safety of total thyroidectomy in the management of benign thyroid disease: a review of 932 cases. Can J Surg. 2009 ; 52 (1): 39-44.

  15. Vasica G, O´Neill JO, Sidhu SB, Sywak MS, Reeve T, Delbridge LW. Reoperative surgery for bilateral multinodular goitre in the era of total thyroidectomy. Br J Surg. 2012 ; 99 (5): 688-92.




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