2019, Number 2
<< Back Next >>
Correo Científico Médico 2019; 23 (2)
Colloid Goiter Surgical treatment in Huambo Regional Hospital, Angola
Solarana OJA, Cisneros DC, Rodríguez PY, Catoquessa DE, Cipriano FW
Language: Spanish
References: 15
Page:
PDF size: 436.02 Kb.
ABSTRACT
Introduction: Colloid Goiter appears frecuently in outpatient health services in Angola. For this reason, it is important to know all its presentation features, for further examination, diagnosis and monitoring.
Objective: to characterize Colloid Goiter behavior after surgery, at General Surgery Service of Huambo Regional Hospital of Angola.
Methods: a transversal, prospective and descriptive study of Colloid Goiter patients, at General Surgery Service of Huambo Regional Hospital, Angola. Universe involved 434 patients and the sample was represented by 253 patients from this group.
Results: females (89.8%), countryside patients (65.2%) as well as ages from 40 to 50 (58.5%) predominated. Hypertension prevailed over associated diseases (25.7%). From the clinical point of view, simetric (80.6%) and Colloid Goiter III (69.1%) were the most representatives. In all patients, Simetric and hipoecoic Colloid Goiter diagnosis were confirmed through echography. Associated nodules with calcifications were the most frequent. In this study, fine needle aspiration citology was the citological method of election from which coloid moderated presence with poligonals and big cells in little groups, extirpated gland histological diagnosis of big thyroid folicle with distention and high cubic epitele calcifications, prevailed.
Conclusions: the Subtotal Thyroidectomy was the most frequent resection. The most obvious complication in thyroid surgery was transient dysphonia, as keloids sequelae from the surgical wound.
REFERENCES
Pallardo Sánchez LP. Enfermedades del sistema endocrino. Madrid: Masson; 2015.
Robbins SL. Tumores del tiroides. En: Patología estructural y funcional. La Habana: Revolucionaria; 1985.p. 1287-96.
Sahu N, Padhy RN. Bayesian analysis of high-resolution ultrasonography and guided fine needle aspirationcytology in diagnosis of palpable thyroid nodules. Braz J Otorhinolaryngol. 2018[citado 14 ene 2019]; 84:20-7. Disponible en: https://www.clinicalkey.es/service/content/pdf/watermarked/1-s2.0-S1808869416302294.pdf?locale=es_ES&searchIndex=
Iglesias Díaz G, García García I, Correa Martínez L. Características clínico-epidemiológicas de pacientes operados debocio coloide reintervenidos por recidiva. Medisur.2015 [citado 19 nov 2015]; 13(5).Disponible en: http://medisur.sld.cu/index.php/medisur/article/view/2937
Ibánez Toda L. Curso de actualización de enfermedades tiroideas. Madrid: Lúa Ediciones; 2017.
Ribeiro Guedes V, Ladeira Garbaccio J. Punção aspirativa por agulha fina da tireóide, uma reavaliação dos benefícios. Rev Pat Tocantins. 2015[citado 26 may 2017];2(1):12-21. Disponible en: https://sistemas.uft.edu.br/periodicos/index.php/patologia/article/view/1391/8193
Vaisman M, Vaisman F, Teixeira PFS. Manuseio do Bócio Uni e Multinodular Tóxico. En: Vilar L. Endocrinologia Clínica. 5a ed. Rio de Janeiro: Guanabara Koogan; 2015. p. 339-46.
Pereiras Costas R, Jequin Savariego E. Actualidad del ultrasonido en las enfermedades del tiroides. Rev Cubana Endocrinol. 2005 [citado 12 abr 2013]; 15(1). Disponible en: http://scielo.sld.cu/scielo.php?pid=S156129532004000100008&script=sci_arttext
Fernández Sánchez J. Clasificación TI-RADS de los nódulos tiroideos en base a una escala de puntuación modificada con respecto a los criterios ecográficos de malignidad. Rev Argentina Radiol. 2014[citado 25 may 2017];78(3):138-148. Disponible en: https://doi.org/10.1016/j.rard.2014.07.015
Sosa Martín JG, Ernand Rizo S. Aspectos actuales del carcinoma bien diferenciado de tiroides. Rev Cubana Cir. 2016 [citado 14 ene 2018];55(1). Disponible en: http://www.revcirugia.sld.cu/index.php/cir/article/view/300
Hernández Puentes YZ, Álvarez Aldana D, Hornedo Ramírez J. Punción-aspiración con aguja fina en las lesiones tiroideas. Rev Cubana Invest Bioméd. 2015 [citado 14 ene 2019]; 34(1):27-32.Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-03002015000100003&lng=es
Prieto Butillé MR. Estudio de la extensión de la tiroidectomía para el tratamiento del bocio multinodular asimétrico [Tesis]. Barcelona:Universidad Autónoma de Barcelona; 2015.
Ross DS. Diagnostic approach to and treatment of thyroid nodules. WoltersKluwer Health (Filadélfia, PA): UpToDate, Inc. 2015. Disponible en: http://www.uptodate.com/contents/diagnosticapproach-to-and-treatment-ofthyroid-nodules
diMarco A, Palazzo F. Goitre and thyroid cancer. Medicine. 2017[citado 14 ene 2019]; 45 (8): 517-522. Disponible en: https://www.clinicalkey.es/#!/content/journal/1-s2.0-S1357303917301196
Campanella P, Ianni F, Rota CA, Corsello SM, Pontecorvi A. Quantification of cancer risk of each clinical and ultrasonographic suspicious feature of thyroid nodules: a systematic review and meta-analysis. Eur J Endocrinol. 2014[citado 3 jul 2017];170(5):203-211. https://eje.bioscientifica.com/view/journals/eje/170/5/R203.xml