Hashimoto's thyroiditis: outcome of surgical resection for patients with thyromegaly and compressive symptoms.


BACKGROUND:The purpose of this study was to determine the indications and outcome of surgery in patients with Hashimoto's thyroiditis (HT). METHODS:All patients who underwent thyroidectomy from 1990 to 2009 with pathologically confirmed HT were identified. Patients whose principle diagnosis was HT were evaluated for symptoms and outcome of thyroidectomy. RESULTS:Thirty-two (15%) of 216 patients with HT were referred with thyroid enlargement and compressive symptoms; 25 (78%) had an associated nodule and 12 (38%) had retrosternal extension. Symptom resolution occurred in 30 (94%) and improvement occurred in 2 (6%) patients after total thyroidectomy in 21 (66%) and thyroid lobectomy in 11 (34%) patients. The only complication was transient hypocalcemia in 12 (38%) patients. One patient had an incidental thyroid lymphoma. CONCLUSIONS:HT is a cause for diffuse or nodular goiter that may impinge on vital structures in the neck and thyroidectomy is safe and effective for relief of compressive symptoms.


Am J Surg


Wormer BA,McHenry CR




Has Abstract


2011-03-01 00:00:00


416-9; discussion 419












  • Pseudo-Meigs syndrome caused by sigmoid colon cancer metastasis to the ovary.

    abstract::We present a patient with pseudo-Meigs syndrome (PMS) secondary to sigmoid colon cancer metastasis to the ovary with elevated serum levels of carcinoembryonic antigen, CA19-9, and CA-125 who showed a marked change in pleural effusion before and after surgery. We have to consider PMS associated with colon cancer in pat...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Saito H,Koide N,Miyagawa S

    更新日期:2012-01-01 00:00:00

  • Role of laparoscopic cholecystectomy in the management of gangrenous cholecystitis.

    abstract:BACKGROUND:Laparoscopic cholecystectomy is increasingly being employed as the initial surgical approach in patients with acute cholecystitis. Gangrenous cholecystitis will be unexpectedly encountered in a proportion of these patients. The applicability of laparoscopic techniques and its outcome in this group of patient...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Habib FA,Kolachalam RB,Khilnani R,Preventza O,Mittal VK

    更新日期:2001-01-01 00:00:00

  • Can residents detect errors in technique while observing central line insertions?

    abstract:BACKGROUND:Procedural teaching and the ability to detect and correct errors are important components of surgical education. This study evaluates whether review of an instructional video will improve residents' ability to detect errors. We hypothesized that clinical experience and confidence do not correlate with abilit...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Pei K,Merola J,Davis KA,Longo WE

    更新日期:2017-06-01 00:00:00

  • Diagnostic value of hyperbilirubinemia as a predictive factor for appendiceal perforation in acute appendicitis.

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    journal_title:American journal of surgery

    pub_type: 临床试验,杂志文章


    authors: Sand M,Bechara FG,Holland-Letz T,Sand D,Mehnert G,Mann B

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    更新日期:2019-02-01 00:00:00

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    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Bigos ST,Neer RM,Goar WT

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  • Honokiol induces cytotoxic and cytostatic effects in malignant melanoma cancer cells.

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    authors: Garwe T,Albrecht RM,Stoner JA,Mitchell S,Motghare P

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    journal_title:American journal of surgery

    pub_type: 杂志文章


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    更新日期:1999-06-01 00:00:00

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    authors: Park JH,Ishizuka M,McSorley ST,Kubota K,Roxburgh CSD,Nagata H,Takagi K,Iwasaki Y,Aoki T,Horgan PG,McMillan DC

    更新日期:2018-09-01 00:00:00

  • Braun enteroenterostomy reduces delayed gastric emptying after pylorus-preserving pancreatoduodenectomy: a retrospective review.

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    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Watanabe Y,Ohtsuka T,Kimura H,Matsunaga T,Tamura K,Ideno N,Aso T,Miyasaka Y,Ueda J,Takahata S,Tanaka M

    更新日期:2015-02-01 00:00:00

  • Clinical and hemodynamic results of bypass to isolated tibial artery segments for ischemic ulceration of the foot.

    abstract::Patients with ischemic ulceration of the foot and no continuous tibial or inframalleolar vessels acceptable for bypass are often treated with primary amputation. We have performed autogenous vein bypass to isolated tibial artery segments (ITAS) in nine patients with ischemic foot ulcers and no other outflow options. W...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Belkin M,Welch HJ,Mackey WC,O'Donnell TF Jr

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  • Alternatives to splenectomy in adults after trauma. Repair, partial resection, and reimplantation of splenic tissue.

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    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Millikan JS,Moore EE,Moore GE,Stevens RE

    更新日期:1982-12-01 00:00:00

  • Prophylactic cholecystectomy is not indicated following renal transplantation.

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    journal_title:American journal of surgery

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    authors: Shaha A,Hoover E,Marti J,Krespi Y

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    authors: Ono S,Tsujimoto H,Matsumoto A,Ikuta S,Kinoshita M,Mochizuki H

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    journal_title:American journal of surgery

    pub_type: 杂志文章


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    journal_title:American journal of surgery

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    journal_title:American journal of surgery

    pub_type: 杂志文章


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    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Halverson JD,Koehler RE

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    journal_title:American journal of surgery

    pub_type: 杂志文章


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