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196 2 |
Ultima descărcare din IBN: 2023-04-27 11:49 |
Căutarea după subiecte similare conform CZU |
616.441-07-089 (2) |
Patologia sistemului limfatic, a organelor hemopoietice şi endocrine (189) |
SM ISO690:2012 COJOCARU, Cristina. Thyroidectomy volume selection for patients with thyroid nodules. In: Revista de Ştiinţe ale Sănătăţii din Moldova, 2022, nr. 3 An.1(29), p. 309. ISSN 2345-1467. |
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Revista de Ştiinţe ale Sănătăţii din Moldova | ||||||
Numărul 3 An.1(29) / 2022 / ISSN 2345-1467 | ||||||
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CZU: 616.441-07-089 | ||||||
Pag. 309-309 | ||||||
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Rezumat | ||||||
Background. Thyroid nodules with a high prevalence in the general population require surgical treatment due to the risk of malignancy, hyperplasia with compression of adjacent structures, and hyperfunction with induction of thyrotoxicosis. The objective of the study. Optimization of surgical treatment in patients with thyroid nodules. Material and Methods. The study included 124 patients (104 women and 20 men), with a mean age of 46.88 years, clinically and paraclinical confirmed with thyroid nodules that represented indications for surgical treatment. Results. In the case of bilateral multinodular goiter of gr. III and IV, autoimmune thyroiditis with thyrotoxicosis, total (12) and subtotal (4) thyroidectomy was chosen. Thyroid nodules classified in Bethesda II, III, IV, and nondiagnostic categories were solved by unilateral thyroidectomy (25). In 83 patients with malignant suspected nodules, the decision on the volume of surgery was made intraoperatively by performing the extemporaneous histological examination. According to the results obtained, in confirmed benign cases were limited to ablation of the affected area (unilateral lobectomies - 56; isthmectomies - 2; combined - 9), and in the malignant ones, total thyroidectomy was performed (16). Postoperative monitoring of the patients was conducted in the course of twenty-four months, and recurrence of the disease has not been determined. Conclusion. Selection of thyroidectomy volume in patients with thyroid nodules should be individualized. An important intraoperative diagnostic tool is the extemporaneous histological examination, which provides data of diagnostic certainty, determining the volume of surgery with the avoidance of total thyroidectomies in inappropriate cases and performing organ-preserving surgeries. |
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Cuvinte-cheie thyroid nodules, thyroidectomy, noduli tiroidieni, tiroidectomie |
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