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[Compressive goiters. Apropos of 80 cases]
M Moumen1, M Mehhane, B Kadiri
1Service de chirurgie générale, C.H.U. Ibnou Rochd, Casablanca, Maroc.
Journal De Chirurgie
|October 1, 1989
Summary
Compressive goitres, often causing breathing difficulties, are predominantly benign. This study of 80 cases found most compressive goitres were not malignant, challenging the assumption that compression equates to cancer.
Area of Science:
- General Surgery
- Endocrinology
- Pathology
Background:
- Compressive goitres are a significant clinical challenge.
- Understanding the clinical manifestations and histological nature of compressive goitres is crucial for patient management.
Purpose of the Study:
- To analyze the clinical presentation, management, and histological findings of compressive goitres.
- To determine the prevalence of malignancy in compressive goitres.
Main Methods:
- Retrospective study of 80 compressive goitres over 7 years.
- Data collection included clinical manifestations, surgical approach, and histological examination.
- Analysis of patient records from Ibnou Rochd University Teaching Hospital.
Main Results:
- Dyspnea (82.5%), dysphonia (65%), and dysphagia (46%) were the most common symptoms.
- Mediastinal extension occurred in 38% of cases, but cervicotomy was sufficient for resection.
- Histological examination revealed 85% benign and 15% malignant goitres.
Conclusions:
- Compressive goitres present with significant respiratory and swallowing difficulties.
- The majority of compressive goitres are benign, and compression does not indicate malignancy.
- Surgical resection is often feasible via cervicotomy, with minor postoperative complications.