Bocio endotorácico / Endothoracic Goiter

Introducción: Un bocio se considera intratorácico cuando más de un 50 por ciento de la glándula tiroides está en el mediastino, o sea, por debajo del nivel del estrecho torácico superior. Se trata de una enfermedad poco frecuente que padece aproximadamente el 3 por ciento de los pobladores del mundo. La incidencia del bocio nodular ha disminuido debido a la ingestión en algunos países de sal yodada y alimentos ricos en yodo. Esta enfermedad alcanza alrededor del 10 por ciento de las masas mediastínicas. Objetivo: Presentar el caso de un paciente masculino, operado de bocio endotorácico en la provincia de Cienfuegos. Presentación de caso: Se presenta un paciente masculino, de 48 años de edad, que acude a consulta y refiere aumento de volumen del cuello en la región anterior, que se acompaña de decaimiento y en ocasiones disfagia tanto a los alimentos líquidos como a los sólidos. Además, refiere ligera disnea que tolera adecuadamente cuando realiza las actividades de la vida diaria. Por tratarse de una enfermedad poco frecuente, se considera de interés científico publicar el caso para conocimiento de los profesionales dedicados al estudio y tratamiento de las afecciones tiroideas. Conclusiones: El bocio endotorácico es una entidad poco frecuente y en todos los casos requiere de intervención quirúrgica(AU)

Introduction: A goiter is considered intrathoracic when more than 50 percent of the thyroid gland is in the mediastinum; in other words, below the level of the superior thoracic outlet. It is a rare disease that affects approximately 3 percent of the world's population. The incidence of nodular goiter has decreased due to the ingestion of iodized salt and iodine-rich foods in some countries. This disease accounts for about 10 percent of mediastinal masses. Objective: To present the case of a male patient operated on for endothoracic goiter in the province of Cienfuegos. Case presentation: The case is presented of a 48-year-old male patient who comes for consultation referring a volume increase in the anterior neck region, accompanied by decay and sometimes dysphagia to both liquid and solid food. In addition, he reports slight dyspnea that he tolerates adequately when performing daily living activities. Since this is a rare disease, it is considered of scientific interest to publish the case for the knowledge of professionals dedicated to studying and treating thyroid disorders. Conclusions: Endothoracic goiter is a rare entity and, in all cases, requires surgical intervention(AU)

Caracterización y manejo del nódulo tiroideo en niños, en el Servicio de Cirugía de Cabeza, Cuello y Máxilo Facial del Instituto Nacional de Salud del Niño - Breña, 2000 - 2020 / Characterization and management of the thyroid nodule in children, in the Head, Neck and Maxillo facial Surgery Service of the Instituto Nacional de Salud del Niño - Breña, 2000 - 2020

RESUMEN Introducción. El nódulo tiroideo en niños generalmente es asintomático, de presentación múltiple y aislada, con dificultad para instaurar el riesgo de malignidad, sobre todo si no es palpable. Objetivo. Determinar las características epidemiológicas, clínicas, ecográficas y manejo quirúrgico del nódulo tiroideo en pacientes del Servicio de Cirugía de Cabeza, Cuello y Máxilo Facial del Instituto Nacional de Salud del Niño (INSN) - Breña, 2000 -2020. Métodos. Estudio observacional, descriptivo y retrospectivo. Se usó la clasificación Bethesda para los estudios citológicos. Los datos fueron analizados en el programa SPSS versión 22. Las variables cualitativas fueron expresadas en frecuencias absolutas y relativas; y las cuantitativas en medidas de tendencia central y dispersión. Resultados. Fueron 66 casos, el promedio de edad fue 10,94 ± 0,88 años, el 48,5% entre 11 a 15 años, el 78,8% fueron del sexo femenino, un 89,4% no referían antecedente familiar de cáncer. Predominó la forma asintomática (74,2%). Ecográficamente el 43,9% de nódulos se localizaron en lóbulo derecho, presentación única (68,2%) y menor a dos centímetros (43,9%). El 82,6% de los 23 casos Bethesda II fueron hemitiroidectomizados y el 86,4% de 22 casos Bethesda VI fueron tiroidectomizados. Conclusiones. En pacientes pediátricos, los nódulos tiroideos se presentaron mayormente en mujeres de 11 a 15 años, sin antecedente familiar de cáncer, asintomáticos, localizados en lóbulo derecho, únicos y menor a dos centímetros. El grado II de la clasificación Bethesda fue la más frecuente. La hemitiroidectomía fue la intervención quirúrgica más utilizada.

ABSTRACT Introduction. The thyroid nodule in children is usually asymptomatic, multiple and isolated presentation, with difficulty in establishing the risk of malignancy, especially if it is not palpable. Objective. To determine the epidemiological, clinical and ultrasound characteristics and surgical management of thyroid nodules in patients of the Head, Neck and Maxillofacial Surgery Service of the Instituto Nacional de Salud del Niño (INSN) - Breña, 2000-2020. Methods. Observational, descriptive and retrospective study. The Bethesda classification was used for cytological studies. Qualitative variables were expressed in absolute and relative frequencies; and quantitative variables in measures of central tendency and dispersion. Results. There were 66 cases, the average age was 10.94 ± 0.88 years, 48.5% between 11 and 15 years, 78.8% were female, 89.4% had no family history of cancer. The asymptomatic form predominated (74.2%). Ultrasonographically, 43.9% of nodules were located in the right lobe, single presentation (68.2%) and smaller than two centimeters (43.9%). 82.6% of the 23 Bethesda II cases were hemithyroidectomized and 86.4% of 22 Bethesda VI cases were thyroidectomized. Conclusions. In pediatric patients, thyroid nodules occurred mostly in women aged 11 to 15 years, with no family history of cancer, asymptomatic, located in the right lobe, single and less than two centimeters. Grade II of the Bethesda classification was the most frequent. Hemithyroidectomy was the most used surgical intervention

Bocio endotorácico en un adulto / Endothoracic goiter in an adult

Se presenta el caso clínico de un paciente de 48 años de edad, quien acudió a la consulta de Patología de Tiroides del Hospital Provincial Dr. Gustavo Aldereguía Lima de Cienfuegos, por presentar aumento de volumen del cuello en la región anterior, decaimiento, ocasionalmente disfagia y ligera disnea. Al examen físico se constató un tumor en la región anteroinferior y lateral derecha del cuello, movible, que se prolongaba hacia abajo a la parte superior del tórax. Se realizó hemitiroidectomía derecha con exéresis de la prolongación endotorácica. El paciente evolucionó favorablemente.

The case report of a 48 years patient is presented. He went to the Thyroid Pathology Service of Dr. Gustavo Aldereguía Lima Provincial Hospital from Cienfuegos, due to an increase of volume in the anterior region of the neck, weakness, occasionally deglutition disorders and light dyspnea. A tumor was verified in the anteroinferior and lateral right region of the neck, movable, that was prolonged downward to the superior part of the thorax when the physical exam was carried out. A right hemithyroidectomy was carried out with exeresis of the endothoracic extension. The patient had a favorable clinical course.

Comparison of Quality of Life of Patients with Papillary Thyroid Microcarcinoma Treated by Different Modalities / 中国医学科学院学报

Objective To compare the health-related quality of life(HRQoL)of patients with papillary thyroid microcarcinoma(PTMC)treated by different modalities. Methods The PTMC patients after treatment who came to our department for follow-up from October to December in 2019 were enrolled and assigned into three groups according to treatment modalities:radiofrequency ablation(RFA)group(

A Prospective Study of Incidence of Hypothyroidism after Hemithyroidectomy in a Tertiary Care Hospital in North Odisha

The risk of hypothyroidism after hemithyroidectomy is variable and not well studied. Our aim was to evaluate the incidence of post-hemithyroidectomy hypothyroidism and identify possible risk factors which indicate whether patients require thyroid function monitoring after surgery. Methods: This study was conducted amongst 60 patients who had undergone hemithyroidectomy in the Department of Surgery, F. M Medical College, Odisha from Jan 2018 to April 2019. Thyroid hormone test were done to determine the incidence of hypothyroidism. The incidence of hypothyroidism was analyzed. Results: We observed that 15% of cases developed overt and 5% developed sub-clinical hypothyroidism following hemi-thyroidectomy. Maximum number of cases was diagnosed within 18 weeks of surgery. Conclusion: Incidence of hypothyroidism following hemithyroidectomy in our study is high amounting to 20% which includes both subclinical as well as overt cases. Overt cases being treated with Levothyroxine and subclinical cases had been followed up carefully.

Clinical Approach to Management of Solitary Thyroid Nodule, A Concrete Plan in 42 Patients, in a Tertiary Centre

Introduction: A discrete swelling in an otherwise impalpablethyroid gland is termed as solitary thyroid nodule. Thechances of malignancy are more in a solitary nodule than in amultinodular goitre. The diseases is more common in womenthan in men. We have made a concrete clinical plan so thatmalignancy is not missed during treatment of solitary thyroidnodule.Materials and methods: Study Site: This hospital basedprospective observational study was performed in 42 patientsin Surgery Department in SGT Medical College, SGTUniversity, Budhera, Gurugram. Detailed history and focussedclinical examination and investigations like thyroid functiontests, thyroid scintiscan, USG, FNAC, other investigations forfitness for surgery and histopathology were done.Results: On the basis of investigations, diagnosis of hottoxic nodule, warm toxic nodule, cysts, follicular adenoma,colloid goitre and malignancy was made. As per ourstreamline approach, we treated some patients conservatively,in others hemi thyroidectomy, total thyroidectomy or totalthyroidectomy with modified radical neck dissection wascarried out.Disscussion: Because of our streamline approach, we coulddetect malignancy in two patients of cysts and follicularadenoma each. Clinically it may look very simple to treat asolitary thyroid nodule, but we feel that without a streamlineapproach, malignancy could be missed. Because of ourconcrete plan, all our patients are faring well.

Cirugía mayor ambulatoria de la glándula tiroides y paratiroides: resultados tras 6 años de experiencia / Major outpatient surgery of the thyroid and parathyroid glands: results after 6 years experience

Objetivo: La cirugía mayor ambulatoria (CMA) y con estancia inferior a 24 horas (overnight stay) se ha consolidado en muchas patologías aunque en cirugía tiroidea y paratiroidea resulta controvertido. El objetivo es valorar nuestros resultados en cirugía del tiroides y paratiroides en régimen de CMA durante un periodo de 6 años. Material y Métodos: Estudio observacional prospectivo de pacientes con indicación de hemitiroidectomía o paratiroidectomía enfocada en régimen CMA entre enero de 2011 y diciembre de 2016. Los pacientes cumplían criterios de CMA. En los primeros años se excluyeron los nodulos tiroideos mayores de 3 cm y los pacientes ASA III. Los pacientes ingresaron la mañana de la intervención, tras el acto quirúrgico pasaron a la Unidad de Recuperación Posquirúrgica y posteriormente a sala de hospitalización. Tras 8 h, si cumplían criterios, fueron dados de alta. Resultados: Se intervinieron 270 pacientes, la tasa de aplicabilidad global fue del 59%, la tasa de aceptabilidad global del 83,6% y el índice de sustitución del 49,2%. El índice de ingresos no deseados fue del 10,4% para la paratiroidectomía y del 17,6% en la cirugía del tiroides. Ningún paciente presentó complicaciones mayores en su domicilio. El grado de satisfacción fue alto o muy alto en el 94% de los pacientes. Conclusiones: La paratiroidectomía enfocada y la hemitiroidectomía realizada por cirujanos expertos en pacientes seleccionados, es segura y efectiva en régimen ambulatorio. Es posible mejorar el índice de sustitución ambulatorio aumentando la tasa de aplicabilidad y aceptabilidad.

Objetive: Ambulatory or overnight stay surgery have been consolidated in many different procedures. However, its use in thyroid and parathyroid surgery is still controversial. The aim of this report is to present the results of 6 years of ambulatory patients undergoing surgery of the thyroid or parathyroid glands. Material and Methods: Prospective observational study of patients who underwent hemithyroidectomy or selective parathyroidectomy in the ambulatory program from January 2011 to December 2016. All patients included met the general criteria of ambulatory surgery. During the first years nodules bigger than 3 cm and patients classified as ASA III were excluded. Patients arrive at hospital the morning of surgery. After the operation, patients pass to the post-anesthesia care unit and then to the hospitalization room. 8 hours after surgery patients are discharged home if they meet the criteria. Results: 270 patients were operated, 159 of them met the inclusion criteria. The overall applicability rate was 59%. The acceptance rate was 83.6% and the substitution index was 49.2%. The unwanted hospital admission was 10.4% for the parathyroidectomy and 17.6% for the hemithyroidectomy. Any patient presented major complications at home. The satisfaction rate was high or very high for 94% of the patients. Conclusion: Selective parathyroidectomy and hemithyroidectomy performed by experienced surgeons in selected patients can be safely and effectively carried out in ambulatory surgery (outpatient). It would be possible to improve the substitution index by increasing the application and acceptability ratios.

Bocio endotorácico / Endothoracic goiter

Paciente masculino de 64 años de edad con antecedentes de hipertensión arterial y alergia al yodo, tratado con enalapril, que acudió a Consulta de Medicina Interna del Policlínico Máximo Gómez Báez de Holguín en enero de 2016 por presentar decaimiento, cansancio fácil, tos seca frecuente, palpitaciones, disfagia y cambios de la voz (ronquera), cuadro que comenzó hacía aproximadamente dos meses, y fue aumentando en intensidad sin otras complicaciones. Se realizaron los estudios de laboratorio para la valoración preoperatoria, además de los estudios de la función tiroidea, radiografías de tórax (vista antero posterior y lateral), tomografía de tórax, ecografía de la tiroides y biopsia de aspiración con aguja fina en el Hospital Clínico Quirúrgico Lucía Íñiguez de Holguín. Se encontró un bocio endotorácico y se realizó tratamiento quirúrgico que consistió en hemitiroidectomía derecha. El transoperatorio y el posoperatorio transcurrieron sin complicaciones, y el informe anatomopatológico reveló la presencia de un bocio coloide adenomatoso.

A 64-year-old male patient with a history of hypertension and iodine allergy, treated with enalapril, who came to the Internal Medicine Consultation of Máximo Gómez Báez Polyclinic in Holguín in January 2016 due to decay, easy fatigue, frequent dry cough, Palpitations, dysphagia and voice changes (hoarseness), a condition that began about two months ago, and increased in intensity without other complications. Laboratory studies were performed for preoperative assessment, in addition to studies of thyroid function, chest X-rays (anteroposterior and lateral view), chest x-ray, thyroid ultrasound, and fine needle aspiration biopsy at Lucía Íñiguez Clinical l Surgical Hospital of Holguín. An endothoracic goiter was found and surgical treatment consisted of right hemithyroidectomy. The transoperative and the postoperative period passed without complications, and the anatomopathological report revealed the presence of an adenomatous coloid goiter.

Comparative study of the treatment of bilateral multinodular goiter between hemithyroidectomy combined with contralateral nodule resection or subtotal resection and bilateral subtotal resection / 中国医学装备

Objective:To discuss the appropriate thyroid operation for the treatment of bilateral multinodular goiter.Methods: 328 bilateral multinodular goiter patients undergoing surgery in the department of general surgery of Capital Medical University Beijing Tongren Hospital from June 2012 to June 2016. were retrospectively analyzed. Of these patients, 85 underwent hemithyroidectomy combined with contralateral nodule resection or subtotal resection and 243 underwent bilateral subtotal thyroidectomy. The rate of postoperative complications and recurrence between hemithyroidectomy combined with contralateral nodule resection or subtotal resection and bilateral subtotal thyroidectomy were compared.Results: The follow-up time was 1 month to 48 months after operations. In hemithyroidectomy combined with contralateral nodule resection or subtotal resection group 1 patient developed recurrent laryngeal nerve palsy, 2 patients had transient hypoparathyroidism and 1 patient had hematoma in the operative cavity. In bilateral subtotal thyroidectomy group, 2 patients developed recurrent laryngeal nerve palsy and 2 patients had subcutaneous hematoma. The rate of recurrent disease was 2.35%(2 patients) in hemithyroidectomy combined with contralateral nodule resection or subtotal resection group and 7%(17 patients) in bilateral subtotal thyroidectomy group. There was no patient in both groups needed reoperation.Conclusions:Hemithyroidectomy combined with contralateral nodule resection or subtotal resection had similar complication rate compared with bilateral subtotal thyroidectomy, but it had a significantly lower risk of recurrence than bilateral subtotal thyroidectomy, Furthermore, the rest one lobe could be resected for many times which would not cause severe complications. Hemithyroidectomy combined with contralateral nodule resection or subtotal resection is worthed to be recommended.

Observaciones críticas en torno a las afecciones nodulares de tiroide / Critical observations on the nodular disorders of thyroid

El nódulo del tiroides es frecuente tanto en la práctica clínica como en la quirúrgica. El tratamiento que ofrece mejores posibilidades parece ser la hemitiroidectomía para tumores unilaterales benignos y la tiroidectomía total para los malignos, con linfadenectomía en caso de metástasis ganglionares; operaciones con poca morbilidad cuando son realizadas por cirujanos experimentados. El tratamiento supresivo posquirúrgico con hormonas tiroideas es capaz de detener la progresión tumoral, inducir la regresión de metástasis y aumentar la supervivencia. Por otra parte, en los tumores recurrentes y metastáticos que no capten yodo se utilizan la radioterapia externa y la quimioterapia adyuvante. Considerando que las neoplasias tiroideas malignas son potencialmente curables y libres de secuelas, en el presente artículo se exponen algunos criterios al respecto...

The thyroid nodule is frequent in the clinical practice as in the surgical one. The treatment offering better possibilities seems to be hemithyroidectomy for benign unilateral tumours and total thyroidectomy for malignancies, with lymphadenectomy in case of ganglion metastasis; which are surgeries with little morbidity when carried out by experienced surgeons. The postsurgical suppressive treatment with thyroid hormones can stop the tumorous progress, can induce the metastasis regression and can increase survival. On the other hand, in the recurrent and metastatic tumours which fix no iodine, the external radiotherapy and the auxiliary chemotherapy are used. Taking into account that thyroid malignant neoplasias are potentially curable and free of sequels, some approaches are exposed on this respect in this work...

Post-lobectomy Hypothyroidism: Incidence and Risk Factors.

Background: Risk factors for developing hypothyroidism after hemithyroidectomy have not been sufficiently studied and the incidence of this complication has probably been underestimated. One factor that has been associated is the autoimmune thyroiditis but hypothyroidism is a normal occurrence in the natural course of this disease and is independent of the surgical approach. Methods: Study cohort of patients subjected to thyroid lobectomy secondary to benign (non autoimmune) thyroid disease with a minimal 4-year postsurgical follow-up. Independent variables studied were age, gender, nutritional status as expressed by body mass index (BMI), and TSH levels, and the dependent variable was development or not of hypothyroidism. Incidence and relative risk for each variable were studied. Results: We included 179 patients, 164 women with a mean age of 41.9 years and 15 men with a mean age of 40.6 years. Pathological substrates were nodular colloid goiter in 115 cases, follicular adenoma in 33 cases, adenomatous colloid goiter in 26 cases, and simple cyst in 5 cases. Sixtyseven (37.4%) patients developed hypothyroidism, 45 (67.2%) of these cases within the first 6 weeks of surgery and 22 (32.8%) cases at 6-month follow-up. No further cases of hypothyroidism were identified after 6 months and up to a mean follow- up of 4 years. The only risk factor associated was a preoperative BMI over 25. Conclusion: For patients undergoing lobectomy for a benign non-autoimmune thyroid disease and a BMI over 25, there is a 1.8-fold higher risk of developing hypothyroidism. The incidence of hypothyroidism in patients undergoing hemithyroidectomy is 37.4% and occurs in the first 6 months after surgery.

Hiperplasia paratiroidea ectópica de doble localización, intratiroidea e intratorácica / Double ectopic parathyroid hyperplasia, intrathyroidal and intrathoracic

Se presenta el caso de una paciente sometida satisfactoriamente a hemitiroidectomía izquierda por diagnóstico de bocio nodular. El estudio anátomo-patológico de la pieza operatoria informó que el aumento de tamaño del lóbulo tiroideo izquierdo se debía a glándula paratiroides hiperplásica intratiroidea. Con este resultado se solicitó gammagrafía paratiroidea, en la que se encontró un área de captación en la región torácica derecha. Se concluyó que se trató de hiperplasia paratiroidea ectópica de doble localización, intratiroidea e intratorácica.

The case of a patient who satisfactorily underwent left hemithyroidectomy for nodular goiter is reported. Pathology study of the specimen stated enlarged left thyroid gland lobe due to hyperplasic intrathyroidal parathyroid. With this result parathyroid gammagraphy was obtained and a right thoracic capture area was reported. Final diagnosis was ectopic parathyroid hyperplasia of double localization, intrathoracic and intrathyroidal.

Comportamiento de la enfermedad nodular del tiroides en el Servicio de Cirugía General del Hospital Vladimir Iich Lenin de Holguín / Behavior of Thyroid Nodular Disease in General Surgery Service in Vladimir Ilich Lenin Hospital of Holguin

Introducción: la enfermedad nodular de la glándula tiroides es causa frecuente de atención en las consultas externas de los servicios de salud. Por esta razón, es importante conocer sus formas fundamentales de presentación, los exámenes complementarios necesarios para su diagnóstico y el seguimiento establecido para vigilar su evolución. Objetivo: caracterizar el comportamiento de la enfermedad nodular de la glándula tiroides en pacientes atendidos en el Servicio de Cirugía General del Hospital General Universitario Vladimir Ilich Lenin de la provincia Holguín. Métodos: se realizó un estudio descriptivo en pacientes con enfermedad nodular de la glándula tiroides atendidos en el Servicio de Cirugía General del Hospital General Universitario Vladimir Ilich Lenin de la provincia Holguín. El universo estuvo constituido por 931 pacientes que acudieron a consulta, la muestra estuvo constituida por 423 pacientes que padecían enfermedad nodular de la tiroides. Resultados: predominó el sexo femenino, así como, las edades entre 31 y 45 años. El aumento de volumen en la región anterior del cuello fue el motivo de consulta más frecuente. Como enfermedad asociada predominó la hipertensión arterial. El carcinoma papilar fue el más encontrado en los nódulos malignos. Prevalecieron los nódulos mayores de 15 mm para el lóbulo, únicos, unilaterales, de bordes regulares y contenido líquido con ganglios múltiples y calcificaciones. El lóbulo izquierdo fue el más afectado. En todos los pacientes se confirmó el diagnóstico mediante ecografía. Predominó el diagnóstico histológico no maligno de la glándula extirpada. Conclusiones: la hemitiroidectomía izquierda con istmectomía fue la resección más frecuente, sin accidentes quirúrgicos y evolución postoperatoria satisfactoria. La complicación más evidente en la cirugía tiroidea fue la disfonía transitoria y como secuela los queloides de la herida quirúrgica.

Introduction: nodular disease of the thyroid gland is a frequent cause of care in outpatient health services, so it is important to know the key features of presentation, any further examination and established monitoring. Objective: to characterize the nodular disease of the thyroid gland behavior in patients attended at General Surgery Service of Vladimir Ilich Lenin Hospital of Holguin. Methods: a descriptive study in patients with nodular thyroid gland, at General Surgery Service of Vladimir Ilich Lenin Hospital. The universe comprised 931 patients and 423 of them represented the sample. Results: papillary carcinoma was the most malignant one found. Nodules of more than 15 mm, unique, unilateral, of regular brink with liquid and multiple ganglia and calcification prevailed. The left lobule was the most affected one. The diagnosis was confirmed in all patients through echography. Non- malignant histologic removed gland predominated Conclusions: the left hemithyroidectomy with isthmectomy was the most frequent resection without postoperative surgical accidents and satisfactory progress. The most obvious complication in thyroid surgery was transient dysphonia as keloids sequel of the surgical wound.

Bocio endotorácico / Endothoracic goiter

Se informa el caso de una paciente de 71 años de edad, con antecedentes de hipertensión arterial, que acude a consulta externa pues hace unos 5 años presenta aumento de volumen de la región inferior y lateral del cuello que se acompaña de decaimientos, palpitaciones y disfagia ocasional. Se realizaron los estudios de laboratorio para la valoración preoperatoria, además de los estudios de la función tiroidea, radiografías de tórax (vista anteroposterior), tomografía de tórax, ecografía de la tiroides y biopsia de aspiración con aguja fina. Se encontró un bocio endotorácico eutiroideo y se realizó tratamiento quirúrgico que consistió en hemitiroidectomía izquierda con istmectomía. El transoperatorio y el posoperatorio transcurrieron sin complicaciones, y el informe anatomopatológico reveló la presencia de un bocio coloide nodular(AU)

This is the case of a female patient aged 71 with a history of high blood pressure seen in external consultation since five years ago she presents a volume increase of lower and lateral region of the neck accompanied of weakness, palpitations and occasional dysphagia. Laboratory studies were conducted to preoperative assessment in addition to thyroid function studies, thorax X-rays (anteroposterior view), thorax tomography, thyroid gland echography and fine needle aspiration biopsy (FNAB). A euthyroid endothoracic goiter was present; surgical treatment was done consisting of left hemithyroidectomy with isthmectomy. In transoperative and postoperative periods there were not complications and the anatomic and pathologic report revealed the presence of nodular colloid goiter(AU)

A study on serum thyroid hormone level alterations after hemithyroidectomy / 中国普通外科杂志

Objective To investigate serum T_3? T_4? TSH alterations after hemithyroidectomy in patients suffering from thyroid benign nodules.Methods Forty-eight patients were divided into two groups by age of 45.All patients were treated with hemithyroidectomy and without substitutional therapy after operation.The levels of serum TT_3? TT_4? FT_3? FT_4? TSH were assessed on day 5, first month, 3rd month, 6th month and one year after operation and compared with pre-operative levels.Results The change of serum T_3? T_4 was not significant; while the levels of serum FT_3? FT_4 in patients over 45 years decreased on day 5 post-op and on the first month ( F=7.853, F=4.247, P