What do we leave behind after neartotal and subtotal thyroidectomy: just the tissue or the disease?

被引:0
作者
Karakoyun, Rojbin [1 ]
Bulbuller, Nurullah [1 ]
Kocak, Savas [2 ]
Habibi, Mani [1 ]
Gunduz, Umut [1 ]
Erol, Bekir [3 ]
Oner, Osman [1 ]
Aslaner, Arif [1 ]
Surer, Dinc [4 ]
Ozdemir, Sukru [1 ]
Gulkesen, Hakan [5 ]
机构
[1] Antalya Training & Res Hosp, Dept Gen Surg, TR-07050 Antalya, Turkey
[2] Ankara Univ, Fac Med, Dept Gen Surg, Div Endocrine Surg, TR-06100 Ankara, Turkey
[3] Antalya Training & Res Hosp, Dept Radiol, TR-07050 Antalya, Turkey
[4] Antalya Training & Res Hosp, Dept Pathol, TR-07050 Antalya, Turkey
[5] Akdeniz Univ, Fac Med, Dept Stat, TR-07058 Antalya, Turkey
来源
INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE | 2013年 / 6卷 / 10期
关键词
Total thyroidectomy; subtotal thyroidectomy; neartotal thyroidectomy; residual tissue; multinodular goiter; BENIGN MULTINODULAR GOITER; NEAR-TOTAL THYROIDECTOMY; SURGICAL-MANAGEMENT; NODULAR RECURRENCE; PREVENTION; MICROCARCINOMA; SURGERY;
D O I
暂无
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Selection of multinodular goiter (MNG) surgery procedure is stilll under discussion. Subtotal thyroidectomy (STT) and neartotal thyroidectomy (NTT) are preferred surgical procedures. However, it is uncertain whether the remnant tissue contains pathological findings or not after these procedures. We aimed to evaluate and comparison the pathologic findings in remnant tissue after NTT and STT. Thyroid tissue samples of 50 patients who underwent TT for MNG disease between January 2010 and August 2011 in our clinic were evaluated. Before the dissection of the thyroid tissue subtotal and neartotal margins were marked in both right and left lobes. After the resection of the specimen, the tissue was excised from the subtotal and neartotal margin marked during the surgery. The pathologic findings of the main tissue, the residual subtotal and neartotal tissues were evaluated and compared. All patients were followed-up 1 year. 43 (86%) females and 7 (14%) males with an average age of 50.5 (23-77) were included in the study. Incidental papillary thyroid cancer was detected in 5 patients (10%). Pathologic findings were present in 31 patients (62%) of subtotal residual tissue and 28 of the patients (56%) of neartotal residual tissue. Papillary microcarcinoma was detected in 3 (9.7%) of subtotal residual tissues and 2 (7.1%) of neartotal residual tissues. There is no significant difference between subtotal and neartotal tissues in terms of existence of pathological findings (p>0.05). There is no significant difference between the neartotal and subtotal residual tissues contralateral of dominant nodule (p>0.05). 2 of the patients (4%) had temporary hypocalcemia, 1 patient (2%) had seroma and 1 patient (2%) had recurrent laryngeal nerve injury. There are high rates of microscopic pathological findings on residual tissues both after STT and NTT. The neartotal and subtotal residual tissues contralateral to the large nodule also had high levels of pathologic findings.
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页码:922 / 929
页数:8
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