Result of Thyroidectomy in Buriram Hospital
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Abstract
Introduction: Thyriod nodules are common clinical problem because some of them are thyroid carcinoma. Investigations include of blood sample for thyroid function test and pathological examination by fine needle aspiration (FNA). Treatments are medication and/or surgery which the surgical complication can be occurred.
Objective: For study the results of thyroid surgery in ENT department, Burirum Hospital.
Method: This is a descriptive retrospective study of the patients who underwent thyroid surgery in ENT department Burirum Hospital since January 2007 to March 2009.
Result: Total cases were two hundred and two which most of them were female, 184 cases in the third decade of life. The most common FNA pathological report were adenoma (34.66%), colloid cyst (19.69%), adenomatous goiter (18.11%), follicular tumor (14.96%), papillary tumor (7.84%) and nodular goiter (4.72%) respectively. Lobectomy was the most frequent procedure (82.67%). Adenoma (39.11%) and multin- odular goiter (20.30%) were reported in permanent section in the most of cases. Well-differentiated thyroid carcinoma defined as papillary or follicular carcinoma were diagnosed in twenty two cases. One case suffered from undifferentiated carcinoma. Surgical complications occurred in fifteen cases which were seven cases of permanent vocal cord paralysis, two cases of temporal vocal cord paralysis and six cases of symptomatic hypocalcemia.
Conclusion: We reported thyroid surgical cases of ENT department, Burirum Hospital. The accuracy of FNA pathological report was acceptable (96.85%). Lobectomy was done in the most of cases which the surgical complications occurred around seven percent such as vocal cord paralysis and symptomatic hypocalcemia.
Key words: Thyroid nodule, Thyroidectomy
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References
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