ECE2015 Eposter Presentations Thyroid (non-cancer) (160 abstracts)
Surgical treatment of thyroid disease: descriptive analysis and histopathology of a series of 92 cases
Dulce Ma Calderón 1 , Jaime Aranda 1 , José Mondéjar 2 , Mubarak Alramadan 1 , David Martín 1 & José Pérez 1
1Hospital Virgen de la Luz, Cuenca, Spain; 2Universidad de Castilla La Mancha, Cuenca, Spain.
Introduction: Retrospective study of patients undergoing thyroid surgery at the Hospital Virgen de la Luz, Cuenca (Spain) during the years 2010–2013.
Material and methods: We evaluated data of 92 patients basically with nodular thyroid disease, who were studied and treated in our hospital.
Results: Our series is made up of 92 patients (25% men and 75% women) with an average age of 52 years. The most common form of presentation (47.8%) was recent emerging thyroid nodule, having less than a year. In 19 cases (20.6%) it was found incidentally, mainly by ultrasound. In most cases, 58 (63%), monitoring prior to surgery was ≤1 year. Ultrasound findings showed mostly mixed multiple nodules (32.6%). The results of cytology were nondiagnostic in 7.6%, 35.9% benign, atypical 2.2%, 9.8% follicular proliferation, suspicious of malignancy 6.5%, and 10.9% malignant. In 25 cases (27.1%) was not done FNA. In 86.9% thyroid function was normal. Total thyroidectomy was performed in 78.3%, in 20.6% hemithyroidectomy and bilateral subtotal thyroidectomy in 1.1%. Surgery was performed in 65% of cases by the most experienced surgeon. The pathology was benign in 70.6% and malignant in 29.3% cases.
Conclusions: The most common presentation in our thyroid disease amenable to surgical treatment is emerging thyroid nodule. In 20.6% of cases it was an incidental finding. Total thyroidectomy was the technique of choice (78.3%). 29.3% of the cases presented a thyroid carcinoma.
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Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
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