Pathologic Significance of a Recurrent Nodular Goiter After the Operations on the Thyroid Gland
The aim of the investigation is to determine the pathologic significance of a recurrent nodular goiter on the basis of the follow-up results analysis after the operations on the thyroid gland.
Materials and Methods. 64 patients (58 females and 6 males) aged 32—63 years (46.4±8.3 years) with a recurrent nodular goiter after the operations on the thyroid gland have been included into the study. The follow-up period was 5 years.
Results. The absolute reoperation indications were revealed only in 9 patients (14.1%). They underwent thyroidectomy. A transitory unilateral laryngoparesis developed in 2 patients in a postoperative period. During the follow-up period euthyroidism persisted in patients with a recurrent nodular goiter required no operative intervention. Only 4 of 13 patients needed to take levothyroxine sodium required a substitution therapy correction. No significant increase of the node size was observed according to the ultrasonoscopy data. The average indicator of life quality corresponded to a good result (10.1±0.4 points).
Conclusion. A recurrent nodular goiter after thyroid tissue preserving operations has no clinical manifestations in the majority of patients.
