Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1
pubmed:dateCreated
1992-3-3
pubmed:abstractText
Surgical approach of benign nodules and goiters in euthyroid patients is not yet well definite concerning the latent of the resection: has it to be large (for avoiding recurrence) of thrifty (in the aim of decreasing the necessity of postoperative thyroid replacement therapy)? We reviewed the results of 338 surgical thyroidectomies in patients followed at least 7 years. 87.36% of them had diffuse pathological abnormalities. Recurrence level was 1.68% in this group, occurring in an average delay of 10 years after the first thyroidectomy. Another study group concerned 47 patients operated for a recurrence in an average of 13.9 years after the first thyroidectomy (mean age at the first thyroidectomy: 35 years). Post operative sequellae after one thyroidectomy or after a second for recurrence seemed not statistically different. Recurrence rate is not important, but it is probably underevaluated by the frequent absence of long-term follow-up. Total thyroidectomy avoids it, and its sequellae are comparable with those observed after reoperation for recurrence. The surgical choice is between the acceptation of a possible recurrence and the necessity of an indefinite thyroid replacement therapy.
pubmed:language
fre
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:issn
0001-4001
pubmed:author
pubmed:issnType
Print
pubmed:volume
117
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
37-40; discussion 41-2
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed:year
1991
pubmed:articleTitle
[Total thyroidectomy to prevent recurrence of benign thyroid goiter].
pubmed:affiliation
Clinique chirurgicale I, hôpital G.R. Laënnec, Nantes.
pubmed:publicationType
Journal Article, English Abstract, Review