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KMID : 0371319700120060077
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Journal of the Korean Surgical Society
1970 Volume.12 No. 6 p.77 ~ p.83
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Surgical Disease of the Thyroid Gland
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黃一愚/Whang, Il Woo
丁海明/李正範/裵元吉/徐廷旭/李東植/Jung, Hae Myung/Lee, Jung Bum/Bae, Won Kil/Suh, Chung Wook/Lee, Dong Shik
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Abstract
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We presented 177 cases of surgical thyroid diseases admitted and treated surgically at the Dept.
of Surgery, Kyung Pook National University Hospital, for last 7 years from Apr. 1962 through
Mar. 1969, with special emphasis on thyroid cancer. Cases were analyzed in its incidence, clinical
features, the method of treatment, histologu and complications.
Sex distribution revealed preponderance of female with the ratio of 1:13.4 in benign and 1:5.6
in maligant thyroid disease. Cancer was most commonly found in 4th decade, comparing with
benign diseases in 3rd decade of life.
The most common symtom and sign of the thyroid cancer was palpable mass in the neck, and
local invasion and cervical metastases were seen in 48.5% of thyroid cancer by pathological confir
mation.
Pathological confirmation revealed as follos: thyroid cancer 33 cases (18.6%), adenomatous nodular
goister 70 cases (42.9%), benign adenoma 34 cases (19.2%), simple colloid goister 15 cases (8.5%).
Grave´s disease 5 cases (2.8%), and acute and chronic inflammation, including Hashimoto´s disease
14 case (7.9%).
The result of surgery was good and postoperative complications were as follows: transient hoarse
ness 13 cases (7 in cancer, 6 in benign), transient hypoparathyroidism 4 cases (2 in ca. and benign
respectively), and hypothyroidism Ⅰcase in cancer.
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KEYWORD
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