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2020, Number 1

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Revista Cubana de Cirugía 2020; 59 (1)

Surgical behavior of thyroid pathologies

Mesa IO, Valdés SLM, Barrios CD, Matos RYA, Travieso PG

Language: Spanish
References: 15
Page: 1-16
PDF size: 757.98 Kb.


ABSTRACT

Introduction: Nodular thyroid disease is a reason for medical consultation, the surgical decision is marked by the suspicion of malignancy, an increase in size, the presence of a compression symptoms, and even aesthetic reasons.
Objective: To describe the clinical and surgical characteristics of patients with thyroid disease, operated at the "Comandante Pinares" hospital.
Methods: A descriptive, ambispective study of patients undergoing thyroid surgery at the “Comandante Pinares” Hospital was performed in the period from January 2014 to December 2018. A sample was taken of 85 patients who met the inclusion criteria. Data was obtained from medical records in a form designed for research. Demographic, epidemiological, clinical, paraclinical and surgical variables were measured using statistical methods for quantitative and qualitative variables.
Results: Surgical thyroid conditions were more frequent in females, between 50 and 59 years of age, with benign nodules prevailing. The most frequent clinical form of presentation was solid nodular, and malignant nodules appeared mainly in tumors smaller than 2 cm. The definitive diagnosis according to the results of the paraffin biopsy showed that the majority of the lesions were benign, with a predominance of nodular goiter and fine needle aspiration biopsy. The most frequent result was negative. The most widely used surgical technique was Total Thyroidectomy at one time. Most of the patients did not present complications.
Conclusions: The treatment of surgical thyroid conditions shows satisfactory results, predominating the conditions in the female sex, of benign etiology.


REFERENCES

  1. Marco A. Soto Bigot. Evaluación diagnóstica de nódulo tiroideo (revisión bibliográfica). Revista médica de Costa Rica y Centroamerica LXV. 2012;586:371-5.

  2. López Lau A. Conducta ante los nódulos tiroideos. Rev Med Tiroides. 2005 [acceso 05/03/2017]. Disponible en: http://tiroides.net/revista/conducta.htm

  3. Giles Y, Boztepe H, Terziglu T, Tezelman S. The advantage of total thyroidectomy to avoid reoperation for incidental thyroid cáncer in multinodular goiter. Arch Surg. 2014;139:179-82.

  4. Cope H. What thyroid nodules are to be feared. J. Clin. Endocrino. 1949;9:1012.

  5. Clerc J. Thyroid Nodule. Rev Prat. 2005;55(2):137-48.

  6. Ponce Marco JL. Sección de cirugía endocrina en Antonio Sitges-Serra y Joan Sanchez Insenser. “En Guías clínicas de la asociación española de cirujanos”. Madrid: Ediciones ARAN S.A. 2012:1-88.

  7. Hernández Amador P. “Nódulos Tiroideos: enfoque clínico y manejo”. Colombia Médica. 2014;102(4):218-35.

  8. Tae-Yon S, Yu-mi L, Jong H, Ki-Wook C, Suck J. Long-Term effect of surgery in Grave´s disease: 20 years’ experience in a single institution. International Journal of Endocrinology; 2015.

  9. Suazo Molina K. Correlación Citohistológica y Ecográfica de las Patologías tiroideas en el Hospital Escuela “Dr. Roberto Calderón Gutiérrez”. Enero 2012-Diciembre 2014. Managua: Universidad Nacional Autónoma de Managua; 2015.

  10. Oré J. Patología quirúrgica de la glándula tiroides. An Fac med. 2008;69(3):182-7.

  11. Fernández M. Patología y cirugía de las glándulas tiroides y paratiroides. Ponencia Oficial de la Sociedad Española de Otorrinolaringología y Patología Cérvico-Facial; 2015.

  12. Chien-Feng H, Yachung J, Kuo-Dong C. The preoperative evaluation prevent the postoperative complications of thyroidectomy. Annals of Medicine and Surgery. 2015;4:5-10.

  13. Cortney Y, Kristin L, Roberta J, Daniel L, David A. Preoperative laryngoscopy in thyroid surgery: Do patient´s subjective voice complaints matter? Surgery. 2014;156:1477-83.

  14. Coiro S, Frattaroli F, De Lucia F. A comparison of the outcome using Ligasure TM small jaw and clamp-and-tie techniqye in thyroidectomy: a randomized single center study. Langenbecks Arch Surg. 2015;400:247-52.

  15. Expósito Rodríguez A. Ganglio centinela en la metástasis ganglionar por carcinoma papilar de tiroides: validez diagnóstica y aplicación en la práctica clínica. Universidad del País Vasco; 2016.




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