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Histopathological Patterns and Early Postoperative Complications among Patients with Surgically Treated Thyroid Diseases at Bugando Medical Centre, Mwanza, Tanzania

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International Journal of Otolaryngology and Head & Neck Surgery 2024年第2期13卷 103-119页

作者： Adam Sijaona Olivia M. Kimario Samson E. Kichiba Gustave Buname fidelis mbunda Rodrick H. Kabangira Cecilia Protas Department of Otorhinolaryngology Head & Neck Surgery Catholic University of Health and Allied Sciences Mwanza Tanzania Department of Internal Medicine Kamanga Medics Zonal Referral Hospital Mwanza Tanzania Department of Otorhinolaryngology Head & Neck Surgery Bugando Medical Centre Mwanza Tanzania

Background: Thyroid diseases are among the leading endocrine disorders affecting a large proportion of people worldwide and show geographical variation in incidence and histopathological pattern related to age, sex, dietary and environmental factors. Histopathological patterns of surgically treated thyroid diseases play an important role in early diagnosis and management of these diseases. There is, however, limited published data regarding histopathological reports on thyroid disease in our local setting. This study aimed to determine the histopathological patterns and highlight early postoperative complications among patients with surgically treated thyroid diseases at Bugando Medical Centre (BMC). Methods: This was a longitudinal study involving all patients with surgically treated thyroid diseases seen at BMC over a period of 6 months from October 2019 to March 2020. Results: A total of 84 patients were studied. Females outnumbered males by a female to male ratio of 11:1. The median age of patients was 44 [IQR, 35 - 54] years old, the youngest was 14 years old and the oldest was 76 years old. Colloid goiter was the most common non-neoplastic lesion accounting for 34 (44.7%) patients. Among the neoplastic lesions, follicular adenoma was the most commonly encountered benign pathologies (n = 16;21.1%), while papillary carcinoma was the most commonly encountered malignancy (n = 4;50%). Following thyroidectomy, 12 (14.3%) patients developed early complications, of which hemorrhage sometimes requiring blood transfusion was the leading intra/postoperative complications accounting for 4 (33.3%) patients. Other complications include temporary recurrent laryngeal nerve palsy 2 (16.7%), surgical site infection 2 (16.7%) and tracheomalacia, bronchospasm, thyroid abscess and respiratory obstruction in 1 (8.3%) patient each, respectively. In this study, malignant thyroid lesion (p Conclusion: This study demonstrated that colloid goiter was the most common non-neoplastic lesio

关键词： Thyroid Diseases Histopathological Patterns Early Postoperative Complications Tanzania

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Histopathological Patterns and Early Postoperative Complications among Patients with Surgically Treated Thyroid Diseases at Bugando Medical Centre, Mwanza, Tanzania

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International Journal of Otolaryngology and Head & Neck Surgery（耳鼻喉） 2024年第2期 103页

作者： Adam Sijaona Olivia M.Kimario Samson E.Kichiba Gustave Buname fidelis mbunda Rodrick H.Kabangira Cecilia Protas

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