Compression syndrome in giant euthyroid goiter

Кочина, ассистент Анна Сергеевна, MD Anna S. Kochina, д.м.н. профессор Демидова Татьяна Юльевна, T. Demidova
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Abstract

Given the widespread iodine deficiency, diffuse and diffuse nodular euthyroid goiter is an urgent problem. A large goiter needs to be highlighted both from the perspective of possible complications for the patient, including a decrease in the quality of life and compression syndrome, as well as from the perspective of the complexity of surgical treatment, given the technical complexity of the operation and the high probability of intraoperative and postoperative complications. The article describes a clinical case of a patient admitted to the endocrinology department with a diagnosis of diffuse nodular goiter of the 2nd degree for examination with complaints of a huge deforming formation of the neck contours, difficulty breathing when walking and during sleep. It is known from the anamnesis that the patient has been observed for about 10 years by an endocrinologist with nodular goiter. The patient was repeatedly offered surgical treatment, which he categorically refused. In the Department of endocrinology, the patient underwent a comprehensive examination to assess the condition and function of the thyroid gland, as well as to identify possible complications.
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巨大甲状腺正常甲状腺肿的压迫综合征
由于普遍缺碘,弥漫性和弥漫性结节性甲状腺肿是一个迫切需要解决的问题。无论是从患者可能出现的并发症(包括生活质量下降和压迫综合征)的角度,还是从手术治疗的复杂性的角度,都需要强调大甲状腺肿,因为手术的技术复杂性以及术中和术后并发症的高概率。本文描述了一个临床病例,患者入院内分泌科诊断为2度弥漫性结节性甲状腺肿检查,主诉颈部轮廓巨大变形,行走和睡眠时呼吸困难。从记忆中可以得知,内分泌学家已经观察了患者约10年的结节性甲状腺肿。病人多次接受手术治疗,但他断然拒绝。在内分泌科,患者接受了全面的检查,以评估甲状腺的状况和功能,并确定可能的并发症。
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