; Codreanu, Corneliu1
; Codreanu, Margareta1
1 CMI Dr. Codreanu, Galati, Romania
The goal of this presentation is to evaluate the surgical indications concerning the treatment of nodular goiter.
Materials and methods:
We retrospectively evaluated 30 pacients treated in our ENT department for nodular goiter between 2006-2016.
The evaluation included clinical examination, determinations of serum TSH,T3,T4 levels, calcitonin levels, antiperoxidase, anti-thyroglobuline, FNAB, ultrasonography.
The histological examination of the 30 surgically removed thyroid specimens found the evidence of malignancy in 6 cases( rate of cancer 20%).
When confronted with nodular goiter, FNAB is the most precise and effective investigation. Surgery is indicated always when FNAB is positive, the goiter is voluminous, compressive, rapid-growing or associated with palpable cervical lymph nodes.