Afterhistory of surgical treatment of nodular goiter

Long-term results of surgical treatment of 649 patients with different morphological forms of nodular goiter in terms of 15 to 3 years are analyzed. Postsurgical recurrent goiter was diagnosed in 26.8% (174 people). The most part of relapses falls on operations characterized by the large part of TG...

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Main Authors: V. G. Petrov, D. I. Malinin
Format: Article
Language:English
Published: Siberian State Medical University (Tomsk) 2007-12-01
Series:Бюллетень сибирской медицины
Subjects:
Online Access:https://bulletin.ssmu.ru/jour/article/view/3326
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author V. G. Petrov
D. I. Malinin
author_facet V. G. Petrov
D. I. Malinin
author_sort V. G. Petrov
collection DOAJ
description Long-term results of surgical treatment of 649 patients with different morphological forms of nodular goiter in terms of 15 to 3 years are analyzed. Postsurgical recurrent goiter was diagnosed in 26.8% (174 people). The most part of relapses falls on operations characterized by the large part of TG tissue rest (resection of TG lobe and node enucleation): 69.1% (139 patients of 201). No one relapse was diagnosed after thyreoidectomy. After extremely subtotal resection, relapses were observed in 2.2% (7 people of 312) and after hemithyroidectomy in 20.6% (26 people of 136). This study indicates inadequacy of operations such as node enucleation and resection of the lobe with a node, especially, if the node belongs to nodular colloid goiter, because in such operations the pathologically changed TG tissue is often rest and there is high probability of relapse.
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spelling doaj.art-9ba38969d99c4a0eb7101a9a770f0d512023-03-13T09:58:07ZengSiberian State Medical University (Tomsk)Бюллетень сибирской медицины1682-03631819-36842007-12-016410010410.20538/1682-0363-2007-4-100-1041982Afterhistory of surgical treatment of nodular goiterV. G. Petrov0D. I. Malinin1Тюменская государственная медицинская академия, г. Тюмень Тюменская областная клиническая больница № 2, г. ТюменьТюменская государственная медицинская академия, г. Тюмень Тюменская областная клиническая больница № 2, г. ТюменьLong-term results of surgical treatment of 649 patients with different morphological forms of nodular goiter in terms of 15 to 3 years are analyzed. Postsurgical recurrent goiter was diagnosed in 26.8% (174 people). The most part of relapses falls on operations characterized by the large part of TG tissue rest (resection of TG lobe and node enucleation): 69.1% (139 patients of 201). No one relapse was diagnosed after thyreoidectomy. After extremely subtotal resection, relapses were observed in 2.2% (7 people of 312) and after hemithyroidectomy in 20.6% (26 people of 136). This study indicates inadequacy of operations such as node enucleation and resection of the lobe with a node, especially, if the node belongs to nodular colloid goiter, because in such operations the pathologically changed TG tissue is often rest and there is high probability of relapse.https://bulletin.ssmu.ru/jour/article/view/3326узловой зобпослеоперационный рецидивный зобузловой коллоидный зобфолликулярная аденомарак щитовидной железы
spellingShingle V. G. Petrov
D. I. Malinin
Afterhistory of surgical treatment of nodular goiter
Бюллетень сибирской медицины
узловой зоб
послеоперационный рецидивный зоб
узловой коллоидный зоб
фолликулярная аденома
рак щитовидной железы
title Afterhistory of surgical treatment of nodular goiter
title_full Afterhistory of surgical treatment of nodular goiter
title_fullStr Afterhistory of surgical treatment of nodular goiter
title_full_unstemmed Afterhistory of surgical treatment of nodular goiter
title_short Afterhistory of surgical treatment of nodular goiter
title_sort afterhistory of surgical treatment of nodular goiter
topic узловой зоб
послеоперационный рецидивный зоб
узловой коллоидный зоб
фолликулярная аденома
рак щитовидной железы
url https://bulletin.ssmu.ru/jour/article/view/3326
work_keys_str_mv AT vgpetrov afterhistoryofsurgicaltreatmentofnodulargoiter
AT dimalinin afterhistoryofsurgicaltreatmentofnodulargoiter