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[Atypical thyroid gland adenoma. Experiences during 12 years struma surgery]
H Grabein1, J Wedell, H van Calker
1Klinik für Allgemein- und Thoraxchirurgie, Kreiskrankenhaus, Herford, Bundesrepublik Deutschland.
Zentralblatt Fur Chirurgie
|January 1, 1991
Summary
Atypical adenomas in thyroid resections rarely lead to recurrence or malignancy, with most patients benefiting from Levothyroxine treatment. This study highlights favorable outcomes for these thyroid conditions.
Area of Science:
- Endocrinology
- Surgical Pathology
- Oncology
Context:
- Thyroid resections are common procedures.
- Distinguishing atypical adenomas from carcinomas is clinically significant.
- Long-term outcomes for atypical adenomas require further elucidation.
Purpose:
- To evaluate the long-term outcomes of patients with atypical adenomas following thyroid resection.
- To compare the incidence and characteristics of atypical adenomas and thyroid carcinomas.
- To assess the efficacy of Levothyroxine in preventing recurrence or malignancy.
Summary:
- Over 12 years, 2176 patients underwent thyroid resection, with 82 diagnosed with atypical adenomas and 93 with thyroid carcinomas.
- Follow-up in 76.8% of atypical adenoma cases showed no recurrence or malignancy.
- 93.3% of patients received Levothyroxine for prevention, with no reported hyperthyroidism.
Impact:
- Provides evidence for the benign nature of atypical adenomas post-thyroidectomy.
- Supports the use of Levothyroxine in managing patients with atypical adenomas.
- Informs clinical decision-making regarding surveillance and treatment strategies for thyroid nodules.