Tracheal or esophageal compression due to benign thyroid disease

Alfonso, Antonio E.; Christoudias, George; Amaruddin, Qamar; Herbsman, H; Gardner, Bernard

doi:10.1016/0002-9610(81)90346-9

Cited by 72 publications

(44 citation statements)

References 3 publications

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“…Both hyperthyroidism and hypothyroidism are known to affect gut motility and are likely causes of dysphagia [3,4]. Similarly, patients with nodular goiters and RSE are more likely to suffer from dysphagia due to mechanical compression [1,2]. The observations of the current study show that patient-perceived dysphagia is also worse for the given conditions.…”

Section: Discussionmentioning

confidence: 66%

Assessment of Swallowing Function Impairment in Patients with Benign Goiters and Impact of Thyroidectomy: A Case Control Study

et al. 2012

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Section: Discussionmentioning

confidence: 66%

Assessment of Swallowing Function Impairment in Patients with Benign Goiters and Impact of Thyroidectomy: A Case Control Study

et al. 2012

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“…Compressive symptoms like dysphagia, dyspnea, cervical tightness and globus sensation have been described in association with thyroid disorders and represent an indication for surgery [1][2][3][4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Cervical compression due to benign thyroid disorders is not associated with increased postoperative morbidity

Ambe

Lindecke

Knoefel

et al. 2014

Eur Arch Otorhinolaryngol

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Compressive symptoms due to malignant thyroid disorders and retrosternal goiter have been shown to be associated with increased perioperative morbidity. However, little is known about the risk associated with the surgical management of patients presenting with cervical compressive symptoms secondary to benign thyroid disorders. A retrospective review of data of patients undergoing thyroid surgery in a tertiary referral center was performed. The outcomes of patients with compressive symptoms due to benign thyroid disorders were compared to those of patients without compressive symptoms. 886 patients operated upon between 2005 and 2012 were included for analysis. 284 cases with compressive symptoms (study group) were compared to 602 cases without compressive symptoms (control group). There was no difference in the duration of surgery among both groups (123 vs. 126 min, p = 0.75). There was no significant difference among both groups with regard to postoperative hypocalcemia (1.4 vs. 1.1 %), rate of recurrent laryngeal nerve palsy (6.3 vs. 7.2 %) and postoperative bleeding (2.1 vs. 3.1 %). Compressive symptoms resolved in a significant number of patients following surgery. There was no significant difference in postoperative outcome between patients with and without compressive symptoms. Therefore, cervical compression due to benign thyroid disorders is not associated with increased perioperative morbidity.

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“…In studies carried out in Turkey, this rate has been reported as higher than 2.8% (3). In autopsy series, thyroid nodules were detected in 35%-50% of thyroid glands, and it was possible to detect small nodules in most of the glands that were found normal in palpation (4)(5)(6). Ultrasound helps to demonstrate the prevalence of nodular goiters (4-6).…”

Section: Discussionmentioning

confidence: 99%

“…Eighty-five patients with cystic nodules, who had previously had a thyroidectomy and a relapsed thyroidectomy, were excluded from the study. Serum T 3 , T 4 , and TSH levels were checked in all patients included in the study, and all patients underwent thyroid ultrasonography and ultrasound-guided FNAB. Nodule dimensions, number of nodules, FNAB pathology results, and postoperative pathology outcomes were recorded according to the results of thyroid ultrasonography.…”

Section: Methodsmentioning

confidence: 99%

Effect of nodule size on the reliability of fine-needle aspiration biopsy in thyroid nodules

Uçar¹,

Sarikaya²,

Parlak³

et al. 2014

Turk J Med Sci

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Background/aim: To investigate the reliability of fine-needle aspiration biopsy (FNAB) in thyroid nodules and benign/malignant discrimination, particularly in large nodules. Materials and methods:A retrospective analysis of 1466 nodules in 402 patients with thyroid nodules who underwent thyroid surgery was made. The pathologic results of the thyroid nodules from preoperative FNAB and postoperative surgical pathology results were compared.Results: FNAB was found to be in accordance with the postoperative pathologic results. A concordance between the FNAB and postoperative pathologic results, particularly in nodules less than 3 cm in size, was detected. However, a similar finding was not detected in nodules larger than 3 cm in size. The rates, calculated without taking into consideration the nodule dimensions, were found to be: sensitivity, 47.65%; specificity, 93.98%; false-negative, 52.35%; and false-positive 6.02% Conclusion:In our experience, the false-negative rate of FNAB in nodules larger than 3 cm was high. Therefore, we have concluded that in the event of malignant FNAB, this rate is significant; however, in the event of benign FNAB, it should not be trusted too much.

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Tracheal or esophageal compression due to benign thyroid disease

Cited by 72 publications

References 3 publications

Assessment of Swallowing Function Impairment in Patients with Benign Goiters and Impact of Thyroidectomy: A Case Control Study

Assessment of Swallowing Function Impairment in Patients with Benign Goiters and Impact of Thyroidectomy: A Case Control Study

Cervical compression due to benign thyroid disorders is not associated with increased postoperative morbidity

Effect of nodule size on the reliability of fine-needle aspiration biopsy in thyroid nodules

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