oa Central African Journal of Medicine - The pattern of goitres seen at Harare Central Hospital - a three year review

Volume 31, Issue 8
  • ISSN : 0008-9176



Eighty-eight cases of goitres were studied. These were cases that were admitted between the years 1981 to 1983 to any ward at Harare Hospital. All the patients were Black. The majority of patients were female. The commonest indication for surgery was goitre enlargement (cosmetic) followed by respiratory obstructive symptoms like dyspnoea. A small number were operated on because of suspicion for carcinoma. Most patients had subtotal thyroidectomy. Only one case had total thyroidectomy. There were a few complications recorded. Notably only 5% had the complication of chest infection, 5% had haemorrhage, 3% had stridor and 73,3 % were straightforward and showed no complications after operation. Unfortunately not all records showed the histological reports. Of the 44 recorded cases, 65,9% were colloid goitres, 18,2% were carcinoma of which 15,9% were follicular carcinoma, 2,3% was anaplastic carcinoma, and 9,1 % were follicular adenoma.

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