Sano D, Ouoba K, Wandaogo A, Sanou A
Clinique chirurgicale et O.R.L. Centre Hospitalier National Yalgo Ouedraogo de Ouagadougou, Burkina Faso.
Dakar Med. 1996;41(2):79-83.
The existence of a thyroïd tumour causes serious diagnostic problems. The retrospective analysis of 83 files collected between 1988 and 1993 (i.e. 6 years) allowed reviewing various diagnostic and therapeutic problems related to thyroid tumoral pathology in Burkina Faso. This pathology is more frequent in women (the sex ratio is 0.22). Clinical data show a high frequency of nodular goitre (87.95%) dominated by the multinodular form. The tumoral volume often proved impressive in most of our patients. Yet, at the histological analysis, 92.68% of thyroid tumours are benign, adenoma being in the lead (68.29% of cases). On the therapeutic level, in the absence of an isotopic exploration and extemporane analysis, surgical gesture was straightaway wide (60% of total or subtotal exerese). The post surgeries were satisfactory in general.
甲状腺肿瘤的存在会引发严重的诊断问题。对1988年至1993年（即6年）间收集的83份病例档案进行回顾性分析，有助于审视布基纳法索与甲状腺肿瘤病理学相关的各种诊断和治疗问题。这种病理情况在女性中更为常见（性别比为0.22）。临床数据显示结节性甲状腺肿的发生率很高（87.95%），以多结节形式为主。在我们的大多数患者中，肿瘤体积往往令人印象深刻。然而，在组织学分析中，92.68%的甲状腺肿瘤是良性的，腺瘤占主导（68.29%的病例）。在治疗方面，由于缺乏同位素检查和即时分析，手术方式直接采用广泛切除（60%为全切除或次全切除）。总体而言，术后情况令人满意。
