Pattern of thyroid disease at civil hospital, Karachi

ABSTRACT

A clinical study on 72 cases of Goitres was conducted at Surgical Unit III Civil Hospital Karachi attached to Dow Medical College from January 1990 to June 1993. Majority of the patients were young female between 20-30 years. Out of 72, female were 64 [89%] and male 8 [11%]. Male to female ratio was 1 8. The distribution of thyroid pathology was - multi nodular Goitre 39%,- solitary nodule 36%, - solitary toxic nodule 14%, - diffuse toxic Goitre 5.5%, - toxic multi nodular Goitre 5.5%, - diffuse simple Goitre 5.5%. All these cases were treated surgically. Post operative complications included, hypocalcaemia [5.5%], haematoma formation [4.1%], wound infection [8.3%], recurrent laryngeat nerve palsy [2.7%], thyroid crisis [1.3%]. Incidence of malignancy in cold nodule was 15%