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Revista Colombiana de Cirugía
Print version ISSN 2011-7582On-line version ISSN 2619-6107
Abstract
CAUSA-SOTERAS, Roberto J.; CAUSA-GARCIA, José R. and GONZALEZ-PEREZ, Yilian A.. Giant multinodular goiter. Case report and literature review. rev. colomb. cir. [online]. 2020, vol.35, n.3, pp.483-490. Epub Feb 09, 2021. ISSN 2011-7582. https://doi.org/10.30944/20117582.469.
Introduction.
Thyroid pathology ranges from benign processes to cancers. The medical-surgical management of the giant goiter involves performing cytological and imaging studies. The objective of this article was to review the literature and present a treated case of giant multinodular goiter.
Methods.
This article reviews the literature on the subject in question regarding the case of a 54-year-old female patient who underwent surgery for multinodular goiter, with satisfactory evolution.
Results.
The patient was intervened electively, excising a 658 gram thyroid, preserving the recurrent laryngeal nerves and the parathyroid glands. A meticulous hemostasis was performed and the patient was transferred to the Intensive Care Unit. After 3 days, both cervical drains were removed, and the patient was discharged after 8 days. The paraffin biopsy corroborated the preoperative diagnosis.
Discussion.
Indications for surgical treatment of goiter include: rapid gland growth, compressive symptoms, and suspected malignancy. Complications are minimal when a very meticulous technique is performed.
Conclusion.
Giant multinodular goiter is rare, and in all cases, requires surgical intervention.
Keywords : goiter; goiter, nodular; thyroid gland; thyroidectomy; postoperative complications.