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Recurrence of goitre after operation in euthyroid patients
S Piraneo1, P Vitri, A Galimberti
1Department of Surgery, L. Sacco Hospital, University of Milan, Italy.
The European Journal of Surgery = Acta Chirurgica
|June 1, 1994
Summary
Subtotal thyroidectomy is recommended for treating goitre in euthyroid patients, as it shows a lower recurrence rate compared to other surgical methods. This study analyzed 106 patients to determine optimal surgical approaches.
Area of Science:
- Endocrinology
- Surgical Oncology
Background:
- Goitre, a common thyroid condition, presents challenges in management for euthyroid patients.
- Optimizing surgical outcomes for goitre requires understanding recurrence patterns and influencing factors.
Purpose of the Study:
- To evaluate surgical strategies for goitre in euthyroid patients.
- To identify factors influencing goitre recurrence after surgery.
Main Methods:
- Retrospective analysis of 106 euthyroid patients undergoing goitre surgery between 1974-1988.
- Surgical outcomes were assessed based on recurrence rates, correlated with operation type, patient age, and histology.
Main Results:
- A 23% overall recurrence rate was observed in 106 patients.
- Unilateral resections had a significantly higher recurrence rate (19 cases) compared to bilateral resections (5 cases).
- No significant association was found between recurrence and patient age or histological findings.
Conclusions:
- Subtotal thyroidectomy is the preferred surgical treatment for goitre in euthyroid individuals.
- Bilateral subtotal thyroidectomy appears to be more effective in preventing goitre recurrence than unilateral approaches.