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Indications and complications for surgical management of thyroid diseases: A single center experience

BACKGROUND: Thyroid disorders are one of the most common endocrine disorders. Thyroid disorders are highly prevalent in the Saudi population. There are many approaches to treat thyroid disorders, varying from conservative to surgical, depending on the severity of each condition. There are many indic...

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Autores principales: Alyahya, Khalid A., Alarfaj, Abdullah A., Alyahya, Abdulwahab A., Alnaim, Abdulrahman E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9289332/
https://www.ncbi.nlm.nih.gov/pubmed/35860099
http://dx.doi.org/10.1016/j.amsu.2022.103980
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author Alyahya, Khalid A.
Alarfaj, Abdullah A.
Alyahya, Abdulwahab A.
Alnaim, Abdulrahman E.
author_facet Alyahya, Khalid A.
Alarfaj, Abdullah A.
Alyahya, Abdulwahab A.
Alnaim, Abdulrahman E.
author_sort Alyahya, Khalid A.
collection PubMed
description BACKGROUND: Thyroid disorders are one of the most common endocrine disorders. Thyroid disorders are highly prevalent in the Saudi population. There are many approaches to treat thyroid disorders, varying from conservative to surgical, depending on the severity of each condition. There are many indications for surgical management of thyroid diseases, including carcinoma, hyperthyroidism, and local compression symptoms. MATERIALS AND METHODS: This is a retrospective study included subjects operated upon for a thyroid disorder over 6 years period in the eastern province of Saudi Arabia. RESULTS: The clinical manifestations and postoperative characteristics of the patients are given in Table 2. It can be observed that the most dominant clinical presentation was neck mass (76.4%), while the most common indication of surgery was the suspicion of cancer (54.5%). Furthermore, the most common histopathology was papillary thyroid cancer (41.8%), whereas the most common complication after the surgery was hypocalcemia (9.1%). Likewise, total thyroidectomy was the most commonly sought surgical intervention (70.9%). Additionally, Bethesda class III constitutes 35.1%, while Bethesda class II constitutes 29.7%. CONCLUSION: Suspicion of cancer was the most prominent indication for surgical intervention. The most prevalent postoperative complications were hypocalcemia. Furthermore, papillary thyroid carcinoma was the most common histological findings, which raises several questions since it contrasts with previous studies done in Saudi Arabia. We believe that the number of thyroid procedures in our region is underreported, and more research is needed to validate this.
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spelling pubmed-92893322022-07-19 Indications and complications for surgical management of thyroid diseases: A single center experience Alyahya, Khalid A. Alarfaj, Abdullah A. Alyahya, Abdulwahab A. Alnaim, Abdulrahman E. Ann Med Surg (Lond) Cross-sectional Study BACKGROUND: Thyroid disorders are one of the most common endocrine disorders. Thyroid disorders are highly prevalent in the Saudi population. There are many approaches to treat thyroid disorders, varying from conservative to surgical, depending on the severity of each condition. There are many indications for surgical management of thyroid diseases, including carcinoma, hyperthyroidism, and local compression symptoms. MATERIALS AND METHODS: This is a retrospective study included subjects operated upon for a thyroid disorder over 6 years period in the eastern province of Saudi Arabia. RESULTS: The clinical manifestations and postoperative characteristics of the patients are given in Table 2. It can be observed that the most dominant clinical presentation was neck mass (76.4%), while the most common indication of surgery was the suspicion of cancer (54.5%). Furthermore, the most common histopathology was papillary thyroid cancer (41.8%), whereas the most common complication after the surgery was hypocalcemia (9.1%). Likewise, total thyroidectomy was the most commonly sought surgical intervention (70.9%). Additionally, Bethesda class III constitutes 35.1%, while Bethesda class II constitutes 29.7%. CONCLUSION: Suspicion of cancer was the most prominent indication for surgical intervention. The most prevalent postoperative complications were hypocalcemia. Furthermore, papillary thyroid carcinoma was the most common histological findings, which raises several questions since it contrasts with previous studies done in Saudi Arabia. We believe that the number of thyroid procedures in our region is underreported, and more research is needed to validate this. Elsevier 2022-06-14 /pmc/articles/PMC9289332/ /pubmed/35860099 http://dx.doi.org/10.1016/j.amsu.2022.103980 Text en © 2022 The Authors https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Cross-sectional Study
Alyahya, Khalid A.
Alarfaj, Abdullah A.
Alyahya, Abdulwahab A.
Alnaim, Abdulrahman E.
Indications and complications for surgical management of thyroid diseases: A single center experience
title Indications and complications for surgical management of thyroid diseases: A single center experience
title_full Indications and complications for surgical management of thyroid diseases: A single center experience
title_fullStr Indications and complications for surgical management of thyroid diseases: A single center experience
title_full_unstemmed Indications and complications for surgical management of thyroid diseases: A single center experience
title_short Indications and complications for surgical management of thyroid diseases: A single center experience
title_sort indications and complications for surgical management of thyroid diseases: a single center experience
topic Cross-sectional Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9289332/
https://www.ncbi.nlm.nih.gov/pubmed/35860099
http://dx.doi.org/10.1016/j.amsu.2022.103980
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