Abstract

The thyroid nodules occur quite frequent but, thyroid carcinoma is a relatively infrequent malignancy. Thyroid carcinoma is generally regarded as a condition of modest oncologic importance because it accounts for less than 0.5% of cancer deaths (less than 2% of all cancers). A sample of 196 patients with nodular thyroid enlargements who underwent thyroidectomies were included in this cross-sectional study. The diagnosis of thyroid carcinoma was confirmed in 18(9.2%) patients in this series. Most of the patients were presented with benign goiters, mainly nontoxic multinodular goiter. Cervical lymphadenopathy was present in 4(22.2%) at presentation. In ten patients out of the 18 patients (55.5%) diagnosed with carcinoma, it was possible to make a correct diagnosis of thyroid carcinoma before and at operation time. While in the remaining eight patients (44.5%) the diagnosis of carcinoma was made at a histopathological examination of the surgical specimens. In conclusion goiter affect female more than male. Nodular colloid goiter was the main pathology. Thyroid carcinoma reported in 9.18% of the sample with goiters. Papillary carcinoma was the commonest histopathological type among patients with carcinomas. Keywords: Goiter, multinodular goiter, carcinoma, ANF DOI : 10.7176/JHMN/66-04 Publication date :September 30 th 2019

Highlights

  • Thyroid carcinoma is generally regarded as a condition of modest oncologic importance because it accounts for less than 0.5% of cancer deaths[1], this reflects the combination of its low frequency of occurrence[1,2]

  • This study focused a concern primarily on the frequency of thyroid carcinoma in the general surgical practice among large number of patients with goiters

  • The diagnosis of thyroid carcinoma was confirmed in 18 patients in this series

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Summary

Introduction

Thyroid carcinoma is generally regarded as a condition of modest oncologic importance because it accounts for less than 0.5% of cancer deaths[1], this reflects the combination of its low frequency of occurrence (less than 2% of all cancers)(1,2). It carries good prognosis, 5 years survival rate exceeding (90%)(3). An aggressive surgical approach to the thyroid nodules started soon after its finding is necessary to permit control of cancer at its early stage. This was supported by Sokal[9] and Crile[10] study

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