Patterns of Surgically Treated Thyroid Disease A Two Years Review at St. Paul Hospital Millennium medical Collage, Addis Ababa, Ethiopia
Main Article Content
Abstract
BACKGROUND: Thyroid disease is a common disorder of theendocrine system worldwide. It is a common problem in developingcountries, including Ethiopia. The aim of this study was todetermine the burden and the pattern of thyroid disease in St.Paul’s Hospital Millennium Medical College, Addis Ababa,Ethiopia.
METHODS: A retrospective review of patients’ medical recordsover a two-year period, January 2013-december 2014, was done.OR log books, and individual patient medical records was used forthe review. Data was analyzed with SPSS version 20.
RESULTS: A total of 2201 general surgical operations were donein a two-year period. Of these, 250(11%) were for thyroid surgery.Records of 222(88.8%) patients were found and used for analysis.Females accounted for 91.4% with F: M ratio of 10.7:1. Thecommon mode of presentations were anterior neck swelling(91.4%) and toxic (29.7%) and pressure symptoms(19.4%). Thecommon physical findings identified were multi nodular goiter(57.2%), diffuse goiter (23.9%) and solitary nodule (5.8%). FNACshowed that Nodular colloid goiter was common diagnosis (68.5%).Neoplasms accounted for 15.9% of the diagnosis; of this follicularneoplasm make (54%) and papillary cancer (20%). Functionally,hyperthyroid goiter 28.8% and euthyroid goiters (64 %). Transienthypocalcaemia (3.2%) and hoarseness of voice (1.8%) were thecommonest complications. There was no postoperative mortality.
CONCLUSION: Hyperthyroidism and neoplasms make significantproportions of the patients. Follicular neoplasm is the commonesttumor. Morbidity and mortality rates are comparable to theliterature.