Present strategies in the diagnosis and treatment of thyroid diseases

Selective and critical presentation of the present exploring methods concerning surgical thyroid diseases and accomplishing a pre-surgical diagnosis as accurate as possible. Depending of the diagnosis--choosing the most appropriate surgical strategy according to the newest concepts in thyroid pathol...

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Bibliographic Details
Published in:	Chirurgia (Bucharest, Romania : 1990) Vol. 96; no. 4; p. 355
Main Authors:	Ghelase, F, Georgescu, I, Ghelase, S, Mărgăritescu, D, Mercuţ, D, Dăbuleanu, P
Format:	Journal Article
Language:	Romanian, Moldovan
Published:	Romania 01-07-2001
Subjects:	Adult Aged Carcinoma - diagnosis Carcinoma - epidemiology Carcinoma - surgery Computer Graphics Female Goiter, Nodular - diagnosis Goiter, Nodular - epidemiology Goiter, Nodular - surgery Humans Male Middle Aged Retrospective Studies Romania - epidemiology Thyroid Diseases - diagnosis Thyroid Diseases - epidemiology Thyroid Diseases - surgery Thyroid Neoplasms - diagnosis Thyroid Neoplasms - epidemiology Thyroid Neoplasms - surgery Romania
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Summary:	Selective and critical presentation of the present exploring methods concerning surgical thyroid diseases and accomplishing a pre-surgical diagnosis as accurate as possible. Depending of the diagnosis--choosing the most appropriate surgical strategy according to the newest concepts in thyroid pathology. Clinical-statistic study, carried out retrospectively over 1,108 patients having various surgical thyroid maladies hospitalized in 1980-1999 period. There have been operated 1,058 cases. Demographic structure as regards sex, F/M was 9.07/0.93 for goiters, whereas for thyroid cancer it was 3/1. Nodular goiters are the most frequent (77.31%), with a pathology benign majority (91.30%). The fundamental problem is the pre-surgical establish malign lesions that require a complex therapeutic protocol comparing to benign nodules. Benign lesions 91.30%, carcinomas 5.48%, others 3.21%. All types of thyroidectomies have been made: T.ST 69.37%, T.T for benign and malign lesions 7.65% and other procedures. Thyroid specific morbidity is 4.25%, whereas unspecific is 8.69%. The 0.08% mortality (1 case), virtually null, place the result between the best of the kind. Pre-surgical diagnosis, as accurate as possible, based on the clinic exam using the vacuum punction with a fine needle, finally confirmed by the paraffin exam, provided the choice of an optimal surgical strategy, followed by an appropriate post-surgical protocol. Total thyroidectomy is the preferred procedure is most of the thyroid cancer forms and in benign diseases is highly recommended (multi-nodular goiters, hyperthyroid, Basedow disease, cancer).
ISSN:	1221-9118