Portal de Periódicos da CAPES

Sociodemographic, endocrine, Histopathological characteristics and management of goiter in Greater Katanga

2020; Volume: 6; Issue: 4 Linguagem: Inglês

10.31254/jmr.2020.6406

2395-7565

Nasser Amisi Lubosha, Augustin Kibonge Mukakala, Pitchou Mbey Mukaz, Jean Marc Kashal A Kasong, Willy Arung Kalau,

Thyroid Cancer Diagnosis and Treatment

Introduction: Goiter is the most common endocrinopathy in the world and is defined as any enlargement of the thyroid gland.The aim of this study was to determine the socio-demographic, endocrine, histopathological characteristics and to assess the management of goiter in Greater Katanga.Patients and method: This is a cross-sectional descriptive study for analytical purposes with prospective data collection, including 101 cases of thyroid goiter collected in the surgery department of the Jason Sendwe General Reference Hospital over a period of April 30, 2015 as of March 31, 2017.We have summarized the quantitative variables as an average and / or median.Qualitative variables have been summarized as a percentage.To compare the means (or medians), the Mann-Whitney U test was applied and a Pearson correlation test between two quantitative variables was used.In order to assess the association between two qualitative variables, we used the Pearson chi-square test or the likelihood chi-square test, and the Fisher exact test.A significance level α = 0.05 was set and the test was considered significant if p-value ˂ 0.05.Results: In our series, the average age was (49.5 ± 10.8 years), and the sex ratio (W / M) was 2.6 with a female predominance (74%).Anterior cervical swelling was the main reason for consultation (100%).The province of Haut-Katanga was more represented in 50.5%.The clinical examination found the diffuse bilateral masses in 62% of the cases.On ultrasound the goiter was heterogeneous in 85.1% of cases and on radiography, tracheal deviation was present in 67.0% of cases, more to the right (40%) than to the left (27%).The hormones TSH, T3 and T4 were normal in 85 patients (84.15%).The most encountered anatomopathological form was colloid goiter (86.1%).The treatment was medical and surgical.The surgery consisted of a subtotal thyroidectomy in all cases.The course was simple in 69.3% of cases, and complications were dominated by hemorrhage in 77.4% of cases.