Características clínico-epidemiológicas de pacientes operados de bocio coloide reintervenidos por recidiva

MEDISUR

Luisbel Correa Martínez¹  Gladys Iglesias Díaz²  Iván García García² 

[1] Hospital General Docente Abel Santamaría Cuadrado;Universidad de Ciencias Médicas. Pinar del Río

关键词: bocio;    enfermedades de la tiroides;    recurrencia;    neoplasias de la tiroides;    neoplasia endocrina múltiple;   

DOI  :  

学科分类：医学（综合）

来源: Centro Provincial de Informacion de Ciencias Medicas de Cinfuegos

【 摘 要 】

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.

【 授权许可】

CC BY