La quantificazione del rischio di recidiva dopo lobo-istmectomia tiroidea per patologia nodulare benigna

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COD: 321-330 Categorie: ,

Gregorio Scerrino, Gianfranco Cocorullo, Nunzia Cinzia Paladino, Giuseppe Salamone, Gaspare Gulotta

Ann. Ital. Chir., 2005; 76: 321-329

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AIM OF THE STUDY: To evaluate correlations between pre-operating epidemiological, clinical and diagnostic data and relapses
concerning to patients operated on for benign thyroid nodules.
MATERIAL AND METHODS: The AA. carried out a new ultrasonographic exam in 155 patients selected at random among
1012 treated by thyroid lobectomy between September 1976 and December 2002; 107 relapses were found (69%).
The obtained data are analysed by χ2 test and a significant correlation between recurrence and data preceding first operation
was found: non-homogeneous thyroid structure, multiple nodules, presence of peri-lesional halo, anti-thyroid antibodies,
and non-adenomatous histological structure.
CONCLUSION: The AA. conclude that it is possible to establish a “high risk” population; in spite of that, the high risk
of relapse related to low surgical risk of total thyroidectomy suggest a more aggressive surgical procedure at the moment
of first operation.

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