MÔ TẢ ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG Ở BỆNH NHÂN CÓ BƯỚU NHÂN TUYẾN GIÁP TẠI BỆNH VIỆN ĐA KHOA TỈNH THÁI BÌNH

Abstract

With the aim of describing clinical and subclinical characteristics in patients with thyroid nodules at Thai Binh Provincial General Hospital, it is the basis for  medical examination to help patients with thyroid nodules be examined and detected early and promptly. Conducting clinical and subclinical examination of 318 patients, average age 51.13 ± 14,928 showed that: Female patients accounted for the majority with 89%, female/male ratio was 8/1 and 81% of patients. There were 44.3% of patients who come to the clinic without any special history. There were 65.4% of patients discovered thyroid nodules due to accidental medical examination without clinical symptoms. There were 176 patients, accounting for 55.3%, palpating thyroid nodules on clinical examination, in which palpable thyroid nodules mononotic tumors accounted for 57.4%, most of them were soft-density nodules accounting for 68.2%. The majority of thyroid nodules were painless 98.9%, no signs of inflammation 98.9%, no signs of compression 85.3%, 100% move according to swallowing rhythm. In 318 patients, only 6.6% had cervical lymphadenopathy, 2.8% had hoarseness. The majority of thyroid nodules <20 mm in size, accounting for 43.5%, mainly multinodular goiters accounting for 77%. On ultrasound, solid nuclei accounted for 40.9% of which mainly hypoechoic nuclei accounted for 70.7%. The results of fine needle aspiration thyroid cytology showed that 89.3% were benign (mainly colloidal thyroid nodules 72.2%), 6% were malignant (mainly papillary carcinomas); accounting for 94.7%) and 4.7% suspected malignancy. Conclusion: Clinical features: The disease is mostly seen in women, the female/male ratio is 8/1. The disease is mainly seen in middle age. Most patients are discovered incidentally. Subclinical features: The number of multinodular tumors is higher than that of mononuclear tumors. Solid nuclei are predominant, of which the majority of malignant cytology are hypoechoic solid nuclei. On ultrasound, nuclei <2cm in diameter make up the majority. The results of cytological aspiration are mostly benign.