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ABSTRACT
The medical records of 233 thyroidectomy cases (194 female, 39 male) which have been operated in between 1985 and 1997 were retrospectively analysed. A great majority of the patients were found to have euthyroid uni/multinodular goiter (n=191, 82%), and solitary cold nodule was the most common preoperative scintigraphic finding (n=111, 47.6%). As to the whole group, bilateral subtotal thyroidectomy was the prefered type of surgery (n=181, 77.7%). The presence of solitary cold nodule seemed to be the most common indication for thyroidectomy (74/148, 50%). Seventyone cases with euthyroid nodular goiter who had at least a 6-month follow-up were analysed in terms of postoperative reccurence rate. These were divided into 3 subgroups: group 1 (n=54) included the patients who had been given thyroid hormone supression immediately after the operation throughout the follow-up, vvhereas group 2 (n=8) were who had taken L-thyroxine suppressive therapy for some time after the operation, and group 3 (n=9) had not been given L-thyroxine throughout the follow-up period. The analyses of these subgroups revealed that postoperative recurrence rates were 5.6%, 0% and 11.1%, respectively. No recurrence was noted in 12 cases with toxic goiter. Persistent hypoparathyroidism was not noted in any of the 67 euthyroid nodular goiter cases except one after subtotal thyroidectomy. These data suggest that euthyroid uni/multinoduler goiter constitutes the majority of cases who have undergone thyroidectomy in Hacettepe University Hospital. The most frequent primary indication to perform thyroidectomy is the presence of solitary cold nodule on preoperative scintigraphy. The most common surgical approach preferred is partial subtotal thyroidectomy which is associated with a low incidence of postoperative persistent hypoparathyroidism.
The medical records of 233 thyroidectomy cases (194 female, 39 male) which have been operated in between 1985 and 1997 were retrospectively analysed. A great majority of the patients were found to have euthyroid uni/multinodular goiter (n=191, 82%), and solitary cold nodule was the most common preoperative scintigraphic finding (n=111, 47.6%). As to the whole group, bilateral subtotal thyroidectomy was the prefered type of surgery (n=181, 77.7%). The presence of solitary cold nodule seemed to be the most common indication for thyroidectomy (74/148, 50%). Seventyone cases with euthyroid nodular goiter who had at least a 6-month follow-up were analysed in terms of postoperative reccurence rate. These were divided into 3 subgroups: group 1 (n=54) included the patients who had been given thyroid hormone supression immediately after the operation throughout the follow-up, vvhereas group 2 (n=8) were who had taken L-thyroxine suppressive therapy for some time after the operation, and group 3 (n=9) had not been given L-thyroxine throughout the follow-up period. The analyses of these subgroups revealed that postoperative recurrence rates were 5.6%, 0% and 11.1%, respectively. No recurrence was noted in 12 cases with toxic goiter. Persistent hypoparathyroidism was not noted in any of the 67 euthyroid nodular goiter cases except one after subtotal thyroidectomy. These data suggest that euthyroid uni/multinoduler goiter constitutes the majority of cases who have undergone thyroidectomy in Hacettepe University Hospital. The most frequent primary indication to perform thyroidectomy is the presence of solitary cold nodule on preoperative scintigraphy. The most common surgical approach preferred is partial subtotal thyroidectomy which is associated with a low incidence of postoperative persistent hypoparathyroidism.