Abstract

GONZALEZ FERNANDEZ, Ramón et al. RESULTS OF THE SURGICAL TREATMENT OF THYROID NODULAR PATHOLOGY IN "HERMANOS AMEIJEIRAS HOSPITAL (1995-2004). Rev Cubana Cir [online]. 2004, vol.43, n.2, pp. 0-0. ISSN 1561-2945.

A prospective study was conducted among 340 patients suffering from thyroid nodular disease, diagnosed and treated in “Hermanos Ameijeiras” Clinical and Surgical Hospital from May 1995 to May 2004. The result of the treatement was also evaluated. Most of the patients were in the fifth decade of life (25.2 %). It was more frequent in females (88.2 %). The multinodular goiter (46.4 %) and the follicular adenoma (20.5 %) were the commonest benign pathologies. As to the preoperative treatment, we found that 59 % received previous suppressive treatment and 5 % antithyroid treatment. Hemithyroidectomy was the most common surgery, accounting for 52.9 %, followed by partial and total thyroidectomy with 17.3 and l5.8 %, respectively. 96.1 % of the cases had no complication. The most used postoperative treatment was the thyroid hormone replacement therapy (76.7 %). The result of the therapeutics was satisfactory. No perioperative mortality was reported.

Keywords : Thyroid nodule; goiter; thryroid; thyroidectomy; suppressive treatment; replacement treatment.