Surgery of Solitary Thyroid Nodule Our Experience with 1350 Cases
Rami M. Shokri, Saad Al-taleb, Mohamed Nagi
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Background: Solitary thyroid nodule are one of the common presentations of goiter, most patients are euthyroid and present with a painless mass in the thyroid gland, patient with solitary thyroid nodule sometimes raises fears about malignant pathology, however in most of the cases it is usually benign lesion. Objective: The aim of this study is to determine the symptomatology of solitary thyroid nodule, to assess the accuracy of preoperative investigations in comparison to the intraoperative and postoperative findings, and to evaluate the best surgical procedure for the treatment of solitary thyroid nodule. Patients and Methods: A retrospective study of the medical records of 1350 of patients operated for solitary thyroid nodule from the period 1-1-1990 to 30-12-2008. History and physical examination are recorded, the preoperative preparation studied and the operative and postoperative results were assessed. Results: The total number of patients were 1350, 115 males and 1195 females, the age ranged from 19 to 72 years old, all of the cases presented with solitary thyroid nodule, 67 % in the left side, FNAC done for most of the cases. 1110 underwent lobectomy and 240 subtotal thyroidectomy, with 5 to 8 years follow up 5 cases show recurrence in the same side and 37 in the other side. Conclusion: Solitary thyroid nodule is a common presentation of neck mass, it is more common in females usually in the left side. In most of the cases the underlying pathology is benign and Lobectomy or subtotal thyroidectomy is the best treatment for this disease.
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