Diagnostic and Therapeutic Strategy in the Management of Goiters in a Surgical Setting: Report of 89 Cases

Hajri, A. and Zouhair, A. and Boufettal, R. and Erguibi, D. and Jai, S. R. and Chehab, F. (2021) Diagnostic and Therapeutic Strategy in the Management of Goiters in a Surgical Setting: Report of 89 Cases. Asian Journal of Research in Surgery, 5 (1). pp. 1-7.

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Abstract

Introduction: The goiter is a very common endocrine pathology throughout the world.

Objectives: The objectives of our study is to analyse the anatomo-clinical aspects of goiters, its means of investigation, as well as their management in a surgical environment

Materials and Methods: Our work is a retrospective study concerning 89 cases operated on for goiter in the general surgery department (wing 3) of the Ibn Rochd University Hospital in Casablanca, over a 2-year period from June 2015 to June 2017.

Résultat: The average age of our patients was 49 years old and the sex ratio was 11.71 (82W/7M) The reason for consultation was an asymptomatic mass in 58% of cases. Our patients were euthyroid in 100% of cases. Ultrasound showed a multi-hetero nodular goiter in 89% of cases and 34% of cases were classified as TIRADS 3A. The plunging character was not objectified in any patient.

Total thyroidectomy was carried out in 100% of the cases in our series, with a systematic search for recurrent nerves and parathyroid glands. 86% of the cases were benign, while only 14% were malignant, with papillary carcinoma being the most common (9.76% of cases).

Conclusion: The diagnostic approach in front of a goiter is based on the search for clinical signs supplemented by multiple paraclinical examinations allowing the orientation of the practitioner and a better definition of the surgical indication.

Item Type: Article
Subjects: Open Archive Press > Medical Science
Depositing User: Unnamed user with email support@openarchivepress.com
Date Deposited: 13 Feb 2023 10:59
Last Modified: 26 Jul 2024 06:32
URI: http://library.2pressrelease.co.in/id/eprint/392

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