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外科的 甲狀腺疾患에 關한 臨床的硏究 A Clinical Study of the Surgical Thyroid Diseases

부산의대잡지 1975년 15권 2호 p.199 ~ 206
백태윤,
소속 상세정보
백태윤 (  ) 
부산대학교 의과대학

Abstract


As is well known, the thyroid is one of the most frequently affected endocrine organ., by surgery from benign, or malignant neoplasm. Recently, with great improvement in early diagnostic methods, thyroid, surgery is taken place more frequently than ever, but the causes of the thyroid gland enlargement are various and several authors reported that there are some difficulties in selection of, the operation. methods by clinical diagnosis only.
Author reviewed 184 cases of surgical thyroid -diseases admitted, to. and treated zurgicallyatDept of Sur gery, Busan National University Hospital during the period. of past 5 years and 6 months from. Jan, 1970 through Jun. 1975, and among these 184 cases; histopathological studies were made on 128 cases,
1. The surgical thyroid diseases were most commonly found in 31-40 years(35. 3 %). with, exceedingly high incidence in the females with the ratio of 1:5.8, but in thyoid cancer, of 1:1.8. The most frequent duration of symptoms was the period, of within 3 months(23. 9 %), and the most of patients was- in 1 year of p;riod(52. I %).
2. The most common symptom and sign was mass palpation: palpitation, anorexia, indigestion, nervnsr ness or irritability and headache were present in order of frequency.
3. In clinical analysis of 128 cases, adenoma, was 61 cases(47.6 %), nontoxic nodular goiter 33 cases(25.7 %), cyst 19 cases(14. 9 %), malignancy 13 cases(10. 2 %), and- toxic nodular goiter 2 cases(1. 6.%).respectively.
4. In histopathological classification, adenoma was 89 cases(68. 7. %), malignancy 14. cases(10. 9 %),. non-toxic nodular goiter 10 cases(7. 8 %), thyroiditis 8 cases(6. 2 %), and cyst 7 cases(5. 4 %) in- ordee.of frequency.
5. Thyroid cancer of 14 cases included papillary carcinoma in 8 cases, undifferentiated carcinoma in 3cases, follicular carcinoma in 2 cases and Hiirthle cell carcinoma in 1 case.
6. Some of clinical. diagnosis was different from pathological diagnosis. with accuracy of about 50 %,
7. The operative techniques used in most cases were lobectomy with isthmectomy(57. 6 %) and euucleation(29.9 %).

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