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1.
Revue Maghrebine d'Endocrinologie-Diabete et de Reproduction [La]. 2007; 12 (3): 89-93
em Francês | IMEMR | ID: emr-84998

RESUMO

The purpose of our study was to analyze the results of surgery in Graves disease, to determine the incidence of post operative complications and to discuss its status as a radical option comparatively to radioiodine therapy. This retrospective study included 100 patients who underwent surgical treatment of medical treatment after failure of anti thyroid therapy. Two sorts of thyroidectomy were performed: subtotal thyroidectomy [STT] in 65% of the cases and total thyroidectomy [TT] in 35%. Post operative complications were frequent with 9% of paralysis of the recurrent nerve. Hypocalcemic episodes occured in 23% of our patients, hypocalcemia being transcient in 9% and permanent in 14% after a first surgery and 16% after reintervention. During the first year post operative hypothyroidism was present in 58% of our cases after STT. The relapse rate during the first six month was 25% [35% after STT and 5% after TT]. Finally papillary microcarcinoma foci were found in one case [1%]. In conclusion, thyroid surgery exposes to a high morbidity [hypoparathyroidism and palsy of the recurrent nerve] and a high relapse rate. This radical option should be compared to the radioiodine therapy in order to give the patient the best therapeutic option


Assuntos
Humanos , Masculino , Feminino , Complicações Pós-Operatórias , Radioisótopos do Iodo , Tireoidectomia , Paralisia das Pregas Vocais , Estudos Retrospectivos , Hipocalcemia , Hipoparatireoidismo
2.
Revue Maghrebine d'Endocrinologie-Diabete et de Reproduction [La]. 2007; 12 (4): 189-192
em Inglês, Francês | IMEMR | ID: emr-94240

RESUMO

Patients with type 1 neurofibromatosis are predisposed to pheochromocytoma even if the incidence remains low [1%]; in these cases, the pheochromocytoma is generally symptomatic; our two cases underline the importance of systematically screening these patients for pheochromocytoma


Assuntos
Humanos , Feminino , Feocromocitoma/diagnóstico , Doenças das Glândulas Suprarrenais
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