ISSN: 1301-2193 E-ISSN: 1308-9846
  • Turkish Journal of
    Endocrinology and Metabolism
ORIGINAL ARTICLE

Surgery of Thyroid Cancers; Retrospective Analysis of 120 Cases - Original Article
Surgery of Thyroid Cancers; Retrospective Analysis of 120 Cases - Original Article
Makale Dili: EN
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ABSTRACT

The goal of this retrospective study was to evaluate the surgical methods used and their outcome in 120 patients. in the last five years, 120 patients with thyroid cancer were treated and their data were reviewed. The diagnosis was made by fine needle aspiration biopsy (FNAB) in 60 (50%) patients, by frozen section in 12 (10%) patients and by surgical specimen histology in 48 (40%) patients who were operated on for nodular goiter. The data of 120 patients verified well differentiated papillary carcinoma in 70 (58%) patients, follicular carcinoma in 34 (28%) patients, medullary carcinoma in 10 (9%) patients and in differentiated carcinoma in 6 (5%) patients. Tumor size was found to be less than one cm. in 24 (20%) patients and was evaluated as microcarcinoma. Seventy-six (63%) patients underwent total thyroidectomy, six (5%) near total thyroidectomy, 32 (27%) unilateral lobectomy on the affected side and subtotal thyroidectomy to the contralateral lobe. No operation was performed on the patients with in differentiated carcinomas. Neck dissections and muscle excisions were performed on 24 (20%) patients. Eighty-four (70%) patients were able to be followed up after the operation and the median follow up time was 2,2 years. Cancer mortality rate was five percent, occurring in six patients with in differentiated carcinoma. Permanent postoperative complications were hypoparathyroidism in three patients and recurrent nerve injury in one patient.
Keywords: Thyroid cancer, surgical treatment

ÖZET

The goal of this retrospective study was to evaluate the surgical methods used and their outcome in 120 patients. in the last five years, 120 patients with thyroid cancer were treated and their data were reviewed. The diagnosis was made by fine needle aspiration biopsy (FNAB) in 60 (50%) patients, by frozen section in 12 (10%) patients and by surgical specimen histology in 48 (40%) patients who were operated on for nodular goiter. The data of 120 patients verified well differentiated papillary carcinoma in 70 (58%) patients, follicular carcinoma in 34 (28%) patients, medullary carcinoma in 10 (9%) patients and in differentiated carcinoma in 6 (5%) patients. Tumor size was found to be less than one cm. in 24 (20%) patients and was evaluated as microcarcinoma. Seventy-six (63%) patients underwent total thyroidectomy, six (5%) near total thyroidectomy, 32 (27%) unilateral lobectomy on the affected side and subtotal thyroidectomy to the contralateral lobe. No operation was performed on the patients with in differentiated carcinomas. Neck dissections and muscle excisions were performed on 24 (20%) patients. Eighty-four (70%) patients were able to be followed up after the operation and the median follow up time was 2,2 years. Cancer mortality rate was five percent, occurring in six patients with in differentiated carcinoma. Permanent postoperative complications were hypoparathyroidism in three patients and recurrent nerve injury in one patient.
Keywords: Thyroid cancer, surgical treatment