[Quantification of the risk of relapses after thyroid loboisthmusectomy for benign thyroid nodules].
OBJECTIVE
To evaluate correlations between pre-operating epidemiological, clinical and diagnostic data and relapses concerning to patients operated on for benign thyroid nodules.


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 chi2 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.


CONCLUSIONS
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.
Università degli Studi di Palermo, Facoltà di Medicina e Chirurgia, Dipartimento GEN.UR.TO., Unità Operativa di Chirurgia Generale e d'Urgenza. gregorioscerrino@virgilio.it
Gregorio
G
Scerrino
Gianfranco
G
Cocorullo
Nunzia Cinzia
NC
Paladino
Giuseppe
G
Salamone
Gaspare
G
Gulotta
D000236:Adenoma / Q000601:surgery; D000328:Adult; D000367:Age Factors; D000368:Aged; D016009:Chi-Square Distribution; D005260:Female; D005500:Follow-Up Studies; D006042:Goiter / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D006044:Goiter, Nodular / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D006111:Graves Disease / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D012307:Risk Factors; D012737:Sex Factors; D013964:Thyroid Neoplasms / Q000601:surgery; D016606:Thyroid Nodule / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D013965:Thyroidectomy / Q000379:methods*; D013997:Time Factors; D014463:Ultrasonography