Evaluation of thyroid function after bilateral subtotal thyroidectomy for Graves' disease--a long term follow up of 100 patients. 1994

S H Noh, and E Y Soh, and C S Park, and K S Lee, and K B Huh
Department of Surgery and Internal medicine, Yonsei University College of Medicine, Seoul, Korea.

One hundred patients who underwent bilateral subtotal thyroidectomy for Graves' disease between January 1980 and September 1984 have been evaluated. The observation period ranged from 5 to 9 years, the average being 6.2 years. Postoperative thyroid function was evaluated with T3, T4 and TSH and compared with their clinical manifestations. Eighty-two patients became euthyroid, 14 patients had recurrence and 4 patients developed hypothyroidism. The thyroid hormone level of euthyroid patients were in an unstable state up to 5 years after the operation. Sixteen variables which might influence the postoperative recurrence and hypothyroidism were analyzed but no statistically significant factors were determined, although recurrences were found frequently in patients over 30 years, the patients with lower infiltration of lymphocytes and absent of fibrosis of thyroid tissue. The results obtained in the present study suggest that mean 6.0 gm of remnant thyroid is suitable for maintaining euthyroidism postoperatively in a majority of patients. In addition, patients should be followed closely for many years and should undergo hormonal determination periodically because recurrence and hypothyroidism can occur at 5 years or more after the operation.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011379 Prognosis A prediction of the probable outcome of a disease based on a individual's condition and the usual course of the disease as seen in similar situations. Prognostic Factor,Prognostic Factors,Factor, Prognostic,Factors, Prognostic,Prognoses
D005260 Female Females
D005500 Follow-Up Studies Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease. Followup Studies,Follow Up Studies,Follow-Up Study,Followup Study,Studies, Follow-Up,Studies, Followup,Study, Follow-Up,Study, Followup
D006111 Graves Disease A common form of hyperthyroidism with a diffuse hyperplastic GOITER. It is an autoimmune disorder that produces antibodies against the THYROID STIMULATING HORMONE RECEPTOR. These autoantibodies activate the TSH receptor, thereby stimulating the THYROID GLAND and hypersecretion of THYROID HORMONES. These autoantibodies can also affect the eyes (GRAVES OPHTHALMOPATHY) and the skin (Graves dermopathy). Basedow's Disease,Exophthalmic Goiter,Goiter, Exophthalmic,Graves' Disease,Basedow Disease,Hyperthyroidism, Autoimmune,Basedows Disease,Disease, Basedow,Disease, Basedow's,Disease, Graves,Disease, Graves',Exophthalmic Goiters,Goiters, Exophthalmic
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D013961 Thyroid Gland A highly vascularized endocrine gland consisting of two lobes joined by a thin band of tissue with one lobe on each side of the TRACHEA. It secretes THYROID HORMONES from the follicular cells and CALCITONIN from the parafollicular cells thereby regulating METABOLISM and CALCIUM level in blood, respectively. Thyroid,Gland, Thyroid,Glands, Thyroid,Thyroid Glands,Thyroids

Related Publications

S H Noh, and E Y Soh, and C S Park, and K S Lee, and K B Huh
May 1988, Journal of endocrinological investigation,
S H Noh, and E Y Soh, and C S Park, and K S Lee, and K B Huh
December 2017, The Journal of surgical research,
S H Noh, and E Y Soh, and C S Park, and K S Lee, and K B Huh
December 2008, World journal of surgery,
S H Noh, and E Y Soh, and C S Park, and K S Lee, and K B Huh
March 1998, The European journal of surgery = Acta chirurgica,
S H Noh, and E Y Soh, and C S Park, and K S Lee, and K B Huh
January 2012, TheScientificWorldJournal,
S H Noh, and E Y Soh, and C S Park, and K S Lee, and K B Huh
October 1975, Southern medical journal,
S H Noh, and E Y Soh, and C S Park, and K S Lee, and K B Huh
April 2012, The British journal of surgery,
S H Noh, and E Y Soh, and C S Park, and K S Lee, and K B Huh
February 1984, American journal of surgery,
S H Noh, and E Y Soh, and C S Park, and K S Lee, and K B Huh
March 1993, Journal of endocrinological investigation,
S H Noh, and E Y Soh, and C S Park, and K S Lee, and K B Huh
July 1983, The British journal of surgery,
Copied contents to your clipboard!