Histopathological evaluation of recurrent goiter.

Abstract:

:The recurrent goiter is the regrowth of thyroid tissue after thyroidectomy. An inadequate surgical removal of the thyroid gland, lack of substitution therapy and pathological stimulation of the thyroid growth can all promote the recurrence. The aim of this study was to find the connection between the histopathological findings during the first and second operation and the recurrence of goiter. The study group consisted of 29 women and 1 man. The mean time to recurrence was 15 years. The most frequent histopathological finding during the first and second operation was struma nodosa. According to our observations different histopathological findings were found in 63.4% cases after primary and secondary thyroidectomy. Some genetic investigations showed that nodules in recurrent goiters did not derive from nodules left during the first operation but from a group of cells which had high growth potential. Thus, not only the operation technique and substitution after operation are key factors of successful therapy of goiter, but also other factors which stimulate the re-growth of thyroid tissue.

authors

Rudnicki J,Agrawal AK,Jelen M,Sebastian M,Sroczyński M,Zyśko D

doi

10.2478/v10042-010-0036-9

subject

Has Abstract

pub_date

2010-09-30 00:00:00

pages

430-3

issue

3

eissn

0239-8508

issn

1897-5631

pii

Q04518M50G6Q3763

journal_volume

48

pub_type

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