[Compressive goiters. Apropos of 80 cases].
Our retrospective study is based on 80 compressive goitres collected over a period of 7 years in the general surgical department of the Ibnou Rochd University Teaching Hospital, Casablanca. Dyspnea was the predominant clinical manifestation and was encountered in 82.5% of cases, followed by dysphonia (65%), dysphagia (46%) and finally venous compression (8.7%). Hyperthyroidism was encountered in 26.25% of cases, 57% of these being due to Grave's disease. The goitre extended mediastinally in 38% of cases but resection was possible on cervicotomy alone. Post-operative sequelae were minor in nature, though one death did occur. On histological examination 85% of these goitres were benign and only 15% were of a malignant nature. This is in agreement with the data in the literature which confirms that compression is not synonymous with malignancy.
Moumen
M
M
Service de chirurgie générale, C.H.U. Ibnou Rochd, Casablanca, Maroc.
Mehhane
M
M
Kadiri
B
B
Mawfik
H
H
el Fares
F
F
D000293:Adolescent; D000328:Adult; D000368:Aged; D003371:Cough / Q000209:etiology; D003680:Deglutition Disorders / Q000209:etiology; D004417:Dyspnea / Q000209:etiology; D005260:Female; D006042:Goiter / Q000150:complications* / Q000473:pathology / Q000601:surgery; D006111:Graves Disease / Q000150:complications / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D012189:Retrospective Studies; D013964:Thyroid Neoplasms / Q000150:complications / Q000601:surgery; D013965:Thyroidectomy
Les goitres compressifs. A propos de 80 cas.