prospective study of goitre

ABSTRACT

During three year period ending in December, 1990 Thyroid surgery was done on 110 patients. The clinical presentation were mainly swelling in neck, dyspnea, dysphagia and Hoarseness, 51, had solitary nodules, 22 were multinodular 18 were Adenomatous, 5 were thyroiditis, 5 cystic nodules, one hot nodule, while 8 were malignant in nature. A non functioning nodule on I131 and technetium scan was the primary criteria for operation. Partial throidectomy was done in 44, while total thyroidectomy with removal of secondary glands was done in 8 cases. Total body scan and I131 ablative dose was given in all malignancies. The commonest area where the disease is prevalent is northern area of N.W.F.P. The joint approach with the radiotherapy department reduces morbidity and mortality in malignancies