갑상선 결절 : 35례에 대한 임상적 고찰 = A Clinical Study of 35 Cases of Thyroid Nodules

다국어 초록 (Multilingual Abstract)

The management of thyroid nodules, about which widely differing views have been expressed for many years, is still a controversial subject. The primary reason for concern about thyroid nodules is that they might be malignant.
This study related clinical and surgical experience with 35 patients of thyroid nodule including benign and malignant treated at department of surgery, Chungnam National University Hospital from January, 1974 to July, 1977.
1. Of 35 cases, 26 were benign and 9 were malignant.
2. Benign thyroid disease was prevalent in the 4th decade and thyroid cancer was prevalent in the 3rd decade.
Female was more frequently affected by benign thyroid disease with the ratio of 12:1, thyroid cancer developed only in woman.
3. The solitary nodules were 28 cases(82. 2%) in which 5 cases(17. 8%) were malignant tumors.
4. In the benign disease 17 cases(17/28) were located on the right lobe. But all the thyroid cancer were located on the left lobe.
5. The pathologic classification of the benign diseases were as following : adenomatous goiter : 16 cases, follicular adenoma : 8, colloid goiter : 1, colloid cyst: 1. In the thyroid cancer, papillary adenocarcinoma: 6 cases, papillary-follicular adenocarcinma: 2, anaplastic carcinoma: 1.
6. Most of patients were treated with lobectomy in benign thyroid disease(17/26 cases). 7. In thyroid cancer, most of patient were treated with subtotal thyroidectomy(6/9 cases).