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THE SURGERY OF THE THYROID GLAND IN THE FIRST SURGICAL CLINIC IAŞI – A RETROSPECTIVE OVERVIEW

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Author(s): D. Niculescu | E. Târcoveanu | V. Filip | Elena Cotea | N. Dănilă | Şt. Georgescu | C. Lupaşcu | D. Lăzescu | Graţiela Grosu | Ana Maria Enăchescu | Felicia Crumpei | Niculina Florea | I. Stratan | Voichiţa Mogoş | R. Moldovanu

Journal: jurnalul de chirurgie (journal of surgery)
ISSN 1584-9341

Volume: 4;
Issue: 1;
Start page: 20;
Date: 2008;
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Keywords: thyroidectomy

ABSTRACT
Background: Different studies reported an increase rate of the thyroidian pathology incidence and thyroidian cancer prevalence, in the last years. Aim: to evaluate the surgical indications, procedures and results for thyroid pathology. Methods: retrospective study performed in First Surgical Clinic Iaşi. Results: During the last 15 years, 2212 patients with different thyroid diseases were operated in our clinic. From these, 53.97% (N=1194) were operated for nodular goiter, 29.97% (N=663) for hyperthyroidism, 10.31% (N=228) for thyroid neoplasm and 6.2% (N=137) for thyroiditis. Differentiated thyroid cancer represents 62% from all the thyroid cancers and occult carcinoma frequency was 5.2%. Total or near total thyroidectomies were performed at 81% of the patients with thyroid cancer. The postoperative morbidity consisted in hemorrhage (3 cases) and recurrent nerve palsy (7 cases). The most common form of hyperthyroidism was Graves’ disease - 50% (N=331), followed by multinodular toxic goiter – 32.65 (N=220) and functional autonomus nodule – 17.4% (N=112). Total and near total thyroidectomies were performed in 228 cases (34.4%) and subtotal thyroidectomies in 349 cases (52.64%). Postoperative hemorrhage was noted in 10 cases and recurrent nerve palsy in 6 cases. Conclusions: Differentiated thyroidian cancer has a significantly increasing rate, in the last years, due to occult carcinoma. Fine needle biopsy and frozen section exam are very useful and have to be performed in all the cases. The correct treatment is a single definitive operative approach – total or near total thyroidectomy.

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