Nuñez-Calatayud M, Rivero-León A, Hernández-Liven JA

Language: Spanish
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ABSTRACT

Introduction: thyroid nodular disease constitutes a spectrum of lesions with variable biological potentials. Objective: to describe some sociodemographic, clinical and histological variables in patients with nodular thyroid disease treated in the general surgery service. Methods: a cross-sectional descriptive study was carried out at the General Teaching Hospital of Moron. It worked with all 96 patients treated by the general surgery service, in the period between January 2008 and December 2019. The data were extracted from the medical records of the patients and from biopsies statistical registry of the Pathological Anatomy Department. Ethical principles were met. Results: the female sex (79.17 %), the age group between 50 and 59 years (34.38 %) and white skin color (77.08 %) predominated. The palpable nodule (100.00 %), hoarseness (75.00 %) and dysphagia (69.79 %) were the most frequent initial symptoms. Ultrasound and fine needle aspiration cytology were the fundamental complementary tests (100.00%). According to the cytology result, 26.04 % were included in the Bethesda II criterion. The adenoma was the most frequent histological type (35.42 %). Lobectomy was the treatment used in more than half of the patients (61.46 %). Postoperative bleeding was the most frequent complication (10.42 %). Conclusions: thyroid nodular disease predominated in women, between 50 and 59 years old and in white skin color. The most frequent histological diagnosis was adenoma and complications were rare.