Patterns of Surgically Treated Thyroid Disease A Two Years Review at St. Paul Hospital Millennium medical Collage, Addis Ababa, Ethiopia

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Yisihak Suga
Engida Abebe

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.

Article Details

Section
Original Article
Author Biographies

Yisihak Suga, St.paulos Hospital Millennium Medical College

General surgeon, Endocrine and
Breast surgery Fellow, St.paulos
Hospital Millennium Medical College

Engida Abebe, St. Paul’s Hospital Millennium Medical College

Surgery and Renal Transplant Surgeon, St. Paulos Hospital Millennium Medical College