RESULTS AFTERWARDS THYROIDECTOMY AT PATIENTS WITH MULTINODULAR GOITER OR THYROID CANCER
Dr. Konstantinos Sorras
Patras, Greece 
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5 slide(s) – English – 2012-03-28
RESULTS AFTERWARDS THYROIDECTOMY AT PATIENTS WITH MULTINODULAR GOITER OR THYROID CANCER.
Sorras Konstantinos, Koliantzaki Sofia, Dimitrakopoulos Spyridon, Andriotis Antonios, Sidiropoulou Anna, Bonas Apostolos, Papageorgiou Evagelos, Saltamavros Alexandros, Sidiropoulos Nikolaos
1.General Hospital of Patras, Endocrinology Department, Patra,Greece.
2.General Hospital of Pyrgos, Obstetric-Gynecology Department, Pyrgos, Greece.
AIM: is the record of the postoperative condition of patients, 3 years afterwards thyroidectomy recording the therapeutic profits and complications.
MATERIAL - METHOD: 62 patients (15 males 42-64 year old, 47 females 35-69 year old) were submitted in almost total thyroidectomy. Preoperative diagnosis: 59 patients with multinodular goiter, (14males, 45females) and 3 (1male, 2females) with thyroid cancer (FNA result of thyroid nodes). 31/62 patients were submitted preoperatively in FNA(of the dominant node) and 3 years postoperatively became recording of the general condition, histological examination and of the complications.
RESULTS: The general condition of all patients 3 years postoperatively was very good. From the histological reports were diagnosed 57 patients with multinodular goiter and 5 with thyroid cancer (analytically female 52 year old with follicular Ca 1.5 cm, male 58 year old with papillary Ca 1.2 cm, 3 females 45,56,63 year old with points of papillary Ca <1 cm). The patients with thyroid cancer > 1cm received therapeutic dose of radioactive iodine, 8 patients (1male, 7females had permanent hypoparathyroidism and received treatment with calcium and vitamine D.
1 female patient 48 year old presented paralysis of the cord vocal while the postoperative aches and the voice hoarseness were more often at the first postoperative year (1 female patient, 54 year old was proved that had falsely positive FNA for thyroid cancer)
CONCLUSIONS: Α) Afterwards careful choice and clinical experience the thyroidectomy is the more preferred therapeutic choice
1. for patients with multinodular goiter considering the cost of the regular follow-up and the relative uncertainty of diagnosis (practically impossible to puncture nodes < 1 cm probably when they are multiple)
2. for patients with FNA compatible with thyroid tumor (thyroid cancer is completely medicable in initial stages).
Β) The postoperative complications afterwards thyroidectomy are medicable.
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