Thyroid Malignancy a 5year Experience at Our Centre

Abstract

Objective: To find out the frequency of various types thyroid carcinomas and their management in tertiary care hospital of Bengaluru. Study design: Retrospective study. Place &Duration of study: Department of General Surgery, KIMS Hospital and Research Centre, Bangalore. 2016 -2021. Methodology: All patients with well differentiated thyroid carcinoma and medullary thyroid carcinoma were included in the study. Patients with anaplastic carcinoma were excluded. Written and informed consent were taken from the patients and data was recorded on a pre-designed form. Results: One hundred and twenty four patients were included in this study. Eighty four patients were female and fourty male with female to male ratio of 2:1. Papillary carcinoma was found to be the most frequent thyroid carcinoma encountered (n=78 – 62.90%) followed by follicular and medullary carcinoma, 34 (27.42%) and 12 (9.67%) respectively. Various surgical procedures were done to deal with these malignancies, that included total thyroidectomy (n=68 – 54.84%), total thyroidectomy plus modified radical neck dissection (n=18 – 14.51%) completion thyroidectomy (n=32 – 25.81%), completion thyroidectomy with modified radical neck dissection (n=4 – 3.22%), and modified radical neck dissection (MRND) alone in (n= 2 -1.65%) patients. Conclusions: Papillary carcinoma was the most common thyroid malignancy encountered. Frequency of medullary carcinoma was found almost equal to the follicular carcinoma.