Articolul precedent |
Articolul urmator |
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Ultima descărcare din IBN: 2023-05-10 13:03 |
SM ISO690:2012 COJOCARU, Cristina, BOUR, Alin. Relevanța clinică a nodulilor tiroidieni. In: Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”, 21-23 octombrie 2020, Chişinău. Chişinău: USMF, 2020, p. 401. |
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Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu” 2020 | ||||||
Congresul "Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”" Chişinău, Moldova, 21-23 octombrie 2020 | ||||||
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Rezumat | ||||||
Background. Thyroid nodules, although they are found in the general population with a rate of 50-65%, have become an interdisciplinary clinical problem in the endocrine surgery, unsolved so far due to their malignancy and lack of consensus on diagnostic-curative management. Objective of the study. Optimization of tactics for diagnosis and surgical treatment of thyroid nodules. Material and Methods. A serial clinical study was performed, which included 84 patients (19-69 years), who presented clinically and paraclinically thyroid nodules larger than 1 cm, with rapid growth over a year, without positive dynamics after conservative treatment. In addition, patients were examined by serological tests, Doppler ultrasonography, sonoelastography, scintigraphy, fine needle aspiration biopsy. Results. Paraclinical benchmarks of thyroid nodules - elevated serum TSH levels, calcitonin, anti-thyroid antibodies; ultrasonography classes TI-RADS 4,5, scintigraphic "cold nodules", cytopathological Bethesda categories IV, V, VI, correlated with the clinical ones determined the surgical treatment. The volume of surgical interventions was established following the result of the extemporaneous histological investigation: hemithyroidectomies - 68 (57%) in benign tumors; total /subtotal thyroidectomy 16 (13%) in malignant tumors. Conclusion. The clinical importance of thyroid nodules consists of the need to assess the malignant potential, dysfunction of the thyroid gland, the degree of compression on adjacent structures, and solving them by selecting the reasonable method of treatment. |
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Cuvinte-cheie clinical importance, thyroid nodules, relevanță clinică, noduli tiroidieni |
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