Endocrine Abstracts

Introduction: Papillary microcarcinomas tirodieos (MCT) are tumours less than or equal to centimeter size, mostly indectectables in the clinic and found incidentally after a thyroidectomy performed for another reason, management is under discussion and its prevalence is increased ~30%, it is believed that the increased use of thyroid ultrasound.

Review: 16 patients with MCT in a province of southern Spain and evaluate the clinical and prognostic variables of our patients. Mostly women 15/1, age 44–74 years X 50. Most MCT found are incidental finding in Total thyroidectomy (TT) euthyroid BMN 13/16, other causes of surgery: Graves’ disease 1/16 and 1/16 parathyroid adenoma. Hyperthyroidism 2/1. Histologically since, given the size average 4.4 mm, only one case of multifocality without capsular most or vascular invasion. In two cases has been extended thyroidectomy were no outbreaks of MCT. The capsular invasion and follicular variety associated with increased vigilance in our patients. They have only received 2/16 I131, the most aggressive. In terms of gender, our only case man is what has been presented with worse prognosis and clinical aggressiveness from the start. Our series is small, the follow-up time is short, but data obtained corroborate published prognostic factors, the most important gender, multifocality and lymphadenopathy. 2. The heterogeneity of this tumour requires us to individualise the approach, and close monitoring based on prognostic factors, to indicate the different strategies.