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High long term recurrence rate after subtotal thyroidectomy for nodular goitre
1Department of Surgery, Eksjö Hospital, Sweden.
The European Journal of Surgery = Acta Chirurgica
|October 1, 1995
Summary
Long-term follow-up after nodular goitre surgery reveals a high recurrence rate. Postoperative thyroxine treatment did not significantly alter the risk of goitre recurrence.
Area of Science:
- Endocrinology
- Surgical Oncology
- Thyroid Disease Research
Background:
- Nodular goitre is a common thyroid condition.
- Subtotal thyroidectomy is a standard surgical treatment.
- Understanding long-term outcomes is crucial for patient management.
Purpose of the Study:
- To determine the long-term recurrence rate of nodular goitre after subtotal thyroidectomy.
- To investigate the efficacy of postoperative oral thyroxine in reducing recurrence risk.
Main Methods:
- Retrospective study design.
- Involved 43 patients operated on for nodular goitre between 1960-1965.
- Patients were re-examined in 1993, with data on thyroxine use and goitre recurrence analyzed.
Main Results:
- A high recurrence rate of nodular goitre was observed 30 years post-surgery.
- Recurrence rates were similar between the group receiving oral thyroxine (45%) and the untreated group (41%).
Conclusions:
- The recurrence of nodular goitre following subtotal thyroidectomy is substantial over three decades.
- Long-term oral thyroxine administration does not appear to significantly impact the recurrence rate.
