Avaliação do perfil clínico e laboratorial de pacientes submetidos à tireoidectomia total no Hospital Universitário da Universidade Federal de Sergipe

Abstract

The nodular thyroid gland disease has constantly increased its prevalence in our society. The increase in its diagnosis has resulted in a greater incidence of differentiated thyroid cancer without any increment in the mortality rate. This is partially due to the development of better image resolution of ultrasound combined to the easy access and lower cost of the exam. This is a cross-sectional descriptive study of a convenience sample with the purpose of describing the clinical and laboratorial profile of patients undergoing total thyroidectomy in the University Hospital of the Federal University of Sergipe (HU / UFS), evaluating the relations between the findings during the interview, ultrasound and cytological results with the indication for total Thyroidectomy; and to analyze the occurrence of postoperative complications. Of the 31 patients, 27 (87%) were female and only 4 were male. The average age was 48,8 years with prevalence of non-caucasian 22 (71%), and asymptomatic patients 22 (71%). Regarding the Bethesda Classification there was a prevalence of benign nodules (Category II) 9 (34,6%) and just three (11,5%) ranked as Category V. Only three patients (9,67%) had immediate postoperative complications. Only three out of 31 patients (9,67%) had direct indication for the procedure, the others had relative indication and each case would require individual analysis. Our findings demonstrate that, even though our study has its own limitations, there is a need for more rigorous evaluation before the indication for total thyroidectomy for nodular thyroid gland disease patients.