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KMID : 0376119940210010057
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Medical Journal of the Red Cross Hospital
1994 Volume.21 No. 1 p.57 ~ p.64
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A Clinical Study of Thyroid Nodules
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Abstract
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During the 5 years of period, 95 patients with thyroid nodules was admitted and operated at department of surgery of Seoul Red Cross Hospital from Jan. 1987 to Dec. 1991.
@ES The results were as follows;
@EN 1) The sex distribution disclosed preponderance of female with ratio of 6.9:1.
2) The most common symptom and sign was palpable nodule on anterior neck.
3) Benign nodules were prevalent in thir and fifth decades, malignant nodules in forth and fifth decades.
4) The duration of illess within 1 year was most common(58.8%).
5) The histopathologic classification of benign disease including of frequency were adenomatous goiter(61.1%), follicular adenorma(22.1%), Hashimoto's Thyroiditis(6.3%), and Graves' disease(2.1%).
The 8 cases of malignant disease was all papillary adenocarcinoma(100%).
6) The location of nodules was 88.5% in unilateral and 11.5% in bilateral.
7) Benign nodules were treated by total lobectomy(85.0%) and subtotal lobectomy(8.0%). In eight malignant disease, total thyroidectomy(25.0%), total lobectomy(25.0%) and subtotal thyroidectomy(25.0%) was common procedures.
8) The postoperative complication occured in 9 cases(9.5%) including 3 cases of transient hoarseness(3.2%), and 2 cases of severe headache(2.1%).
There was neither postoperative death nor thyroid crisis.
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