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Year : 2015  |  Volume : 12  |  Issue : 3  |  Page : 107-109

Hypothyroidism after hemithyroidectomy for colloid goiter: Is it a reality

Department of Otolaryngology and Head-Neck Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India

Correspondence Address:
Dr. Karan Gupta
Department of Otolaryngology and Head-Neck Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0973-0354.159527

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Objective: The objective was to determine the overall risk of hypothyroidism (clinical and subclinical) after hemithyroidectomy for colloid goiter. Materials and Methods: Prospective review of 54 patients who underwent hemithyroidectomy for colloid goiter at a tertiary care center from January, 2010 to December, 2012 with regular follow-up. Results: A total of 54 patients were included in the study with 38 females and 16 males (M:F = 1:3). Mean age was 38 years (range: 23-59 years). All underwent hemithyroidectomy for preoperative diagnosis of colloid goiter, which was confirmed on postoperative histopathological examination. Patients were kept on regular follow-up with repeat thyroid function tests after every 6 months. Mean follow-up was 30.7 months. Subclinical hypothyroidism was found in 8 patients (14.8% prevalence) at a mean follow-up of 16.7 months postsurgery. T3 and T4 levels were within normal limits in all patients with no clinical hypothyroidism detected. No patient was on thyroid hormone supplementation. Conclusion: Our study shows a 14.8% prevalence of subclinical hypothyroidism following hemithyroidectomy for colloid goiter. Patients with subclinical hypothyroidism are at an increased risk of developing clinical hypothyroidism. The risk of hypothyroidism after hemithyroidectomy is an important element in decision making for individual patient and health care provider.

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