The thyroid disease is the most common form of the endocrinologic disease. There were many approaches to diagnose and deal with this disease entities, especially for the preoperative diagnosis of malignancy.
We reviewed 193 patients with thyroid nodules who were admitted and operated in the department of general surgery, Incheon Christian Hospital, from January 1980 to December 1990.
@ES The results were as follows:
@EN 1)Female patients were predominate in 8.6 times than males. The peak incidence was 3 rd decade in benign(31.6%) and malignant nodules(28.6%).
2) The most common subjective symptoms were palpable mass, nervousness, palpitation, and fatigue, in order of frequency.
3) In the duration of illness, 49.2% of cases were less than 6 months.
4) The right-sided nodules were slightly more common.
5) There was no significance of thyroid scanning and thyroid function test in differentiating malignancy.
6) The incidence of malignancy was 18.1%. The benign nodules included adenomatous goiter in 120 cases(76%), follicular adenoma in 22 cases(13.9%), Hashimoto's thyroiditis in 6 cases(3.8%), and DeQuervain's thyroiditis in 1 cases(0.6%). The
malignant
nodules included papillary carcinoma in 17 cases(48.6%), follicular carcinoma in 2 cases(5.7%), mixed papillary-follicular carcinoma in 15 cases(42.8%), and one medullary carcinoma(2.9%).
7) The most commonly performed surgical procedures were lobectomy in benign nodules and total thyroidectomy with regional lymph node dissection in malignancy.
8) The postoperative complications were developed in 7.7% of total cases.
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