<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2011-7582</journal-id>
<journal-title><![CDATA[Revista Colombiana de Cirugía]]></journal-title>
<abbrev-journal-title><![CDATA[rev. colomb. cir.]]></abbrev-journal-title>
<issn>2011-7582</issn>
<publisher>
<publisher-name><![CDATA[Asociación Colombiana de Cirugía]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2011-75822020000300483</article-id>
<article-id pub-id-type="doi">10.30944/20117582.469</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Bocio multinodular gigante. de la literatura a propósito de un caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Giant multinodular goiter. Case report and literature review]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Causa-Soteras]]></surname>
<given-names><![CDATA[Roberto J.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Causa-García]]></surname>
<given-names><![CDATA[José R.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González-Pérez]]></surname>
<given-names><![CDATA[Yilian A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Nacional "Simão Mendes"  ]]></institution>
<addr-line><![CDATA[Bissau ]]></addr-line>
<country>Guinea Bissau</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Nacional "Simao Mendes"  ]]></institution>
<addr-line><![CDATA[Bissau ]]></addr-line>
<country>Guinea Bissau</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Nacional "Simao Mendes"  ]]></institution>
<addr-line><![CDATA[Bissau ]]></addr-line>
<country>Guinea Bissau</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2020</year>
</pub-date>
<volume>35</volume>
<numero>3</numero>
<fpage>483</fpage>
<lpage>490</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S2011-75822020000300483&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S2011-75822020000300483&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S2011-75822020000300483&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción.  La patología tiroidea abarca desde procesos benignos hasta cánceres. El manejo médico-quirúrgico del bocio gigante implica la realización de estudios citológicos y de imagen. El objetivo de este artículo fue hacer una revisión de la literatura y presentar un caso atendido de bocio multinodular gigante.  Métodos.  En el presente artículo se revisa la literatura sobre el tema en cuestión a propósito del caso de una paciente de 54 años de edad, intervenida quirúrgicamente por bocio multinodular, con evolución satisfactoria.  Resultados.  Se interviene la paciente de manera electiva, realizando exéresis a un tiroides de 658 gramos, conservando los nervios laríngeos recurrentes y las glándulas paratiroides; se realizó una meticulosa hemostasia y se trasladó la paciente a la Unidad de Cuidados Intensivos. A los 3 días se retiraron ambos drenajes cervicales, y se dio alta hospitalaria definitiva a los 8 días. La biopsia por parafina corroboró el diagnóstico preoperatorio.  Discusión.  Las indicaciones de tratamiento quirúrgico del bocio incluyen: crecimiento rápido de la glándula, síntomas compresivos y sospecha de malignidad. Las complicaciones son mínimas cuando se realiza una técnica muy meticulosa.  Conclusión.  El bocio multinodular gigante es infrecuente, y en todos los casos, requiere de intervención quirúrgica. Palabras claves: bocio; bocio nodular; glándula tiroides; tiroidectomía; complicaciones posoperatorias.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction.  Thyroid pathology ranges from benign processes to cancers. The medical-surgical management of the giant goiter involves performing cytological and imaging studies. The objective of this article was to review the literature and present a treated case of giant multinodular goiter.  Methods.  This article reviews the literature on the subject in question regarding the case of a 54-year-old female patient who underwent surgery for multinodular goiter, with satisfactory evolution.  Results.  The patient was intervened electively, excising a 658 gram thyroid, preserving the recurrent laryngeal nerves and the parathyroid glands. A meticulous hemostasis was performed and the patient was transferred to the Intensive Care Unit. After 3 days, both cervical drains were removed, and the patient was discharged after 8 days. The paraffin biopsy corroborated the preoperative diagnosis.  Discussion.  Indications for surgical treatment of goiter include: rapid gland growth, compressive symptoms, and suspected malignancy. Complications are minimal when a very meticulous technique is performed.  Conclusion.  Giant multinodular goiter is rare, and in all cases, requires surgical intervention.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[bocio]]></kwd>
<kwd lng="es"><![CDATA[bocio nodular]]></kwd>
<kwd lng="es"><![CDATA[glándula tiroides]]></kwd>
<kwd lng="es"><![CDATA[tiroidectomía]]></kwd>
<kwd lng="es"><![CDATA[complicaciones posoperatorias]]></kwd>
<kwd lng="en"><![CDATA[goiter]]></kwd>
<kwd lng="en"><![CDATA[goiter, nodular]]></kwd>
<kwd lng="en"><![CDATA[thyroid gland]]></kwd>
<kwd lng="en"><![CDATA[thyroidectomy]]></kwd>
<kwd lng="en"><![CDATA[postoperative complications]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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