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On-line version ISSN 1727-897X


IGLESIAS DIAZ, Gladys; GARCIA GARCIA, Iván  and  CORREA MARTINEZ, Luisbel. Clinical and Epidemiological Clinical and Epidemiological Characteristics of Colloid Goiter Patients Undergoing Reoperation for Recurrent Thyroid Disease. Medisur [online]. 2015, vol.13, n.5, pp.622-629. ISSN 1727-897X.

Background: thyroid disease is one of the most prevalent medical conditions and thyroid cancer is the most common endocrine neoplasm. Thyroid reoperations are more common than it might seem.Objective: to establish the clinical and epidemiological characteristics of patients operated on for colloid goiter undergoing reoperation for recurrent thyroid disease.Methods: a case-series study was conducted at the León Cuervo Rubio Clinical-Surgical Hospital in Pinar del Rio. The sample included all patients (n = 29) who underwent thyroid operation and were reoperated on for recurrent thyroid disease in 2010, 2011 and 2012. The information was obtained from medical records and the register of histopathological diagnoses.Results: most patients (27.6%) were in the 40-49 age group and females (79.3%) were most affected. Recurrence was observed 5 to 9 years after surgery. Mixed nodules (55.2%) followed by cysts (17.2%) were the most frequent ultrasound diagnoses. Recurrent thyroid disease was malignant in 9% of patients.Conclusions: patients reoperated on for thyroid disease were mostly females in the fourth and fifth decade of life. The disease recurred in a period of 10 years after the first surgery in a greater number of cases. Follicular-patterned lesions, colloid goiter and cancer were the most common histologic diagnosis.

Keywords : goiter; thyroid diseases; recurrence; thyroid neoplasms; multiple endocrine neoplasia.

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