Abstract

DIAZ MESA, C. Julio; TAQUECHEL BARRETO, Fidel; QUERAL GOMEZ-QUINTERO, Rocío  and  DOMINGUEZ CORDOVES, Janet. Diagnosis and surgical treatment of thyroid cancer in the Centre for Medicosurgical Research . Rev Cubana Cir [online]. 2008, vol.47, n.1, pp. 0-0. ISSN 1561-2945.

INTRODUCTION. The thyroid carcinoma is rare; however, it is the most common malignant neoplasia of the endocrine system. The aim of this paper was to describe the results of the diagnosis and treatment of thyroid cancer during a five-year term at the Centre for Medicosurgical Research (CIMEQ, in Spanish), to characterize diverse variables of the affected population, and to determine the relationship between the surgical technique used and the AGES' prognosis index. METHOD. An observational, descriptive and prospective study was conducted with analytical elements obtained from 52 patients operated on of thyroid cancer at CIMEQ from January 2001 to December 2005. The AGES' prognostic index was applied to patients with well-differentiated thyroid cancer and it was related to the surgical technique used. RESULTS. Thyorid cancer prevailed in females aged 29-67 (86.5 %) and in males over 55. The fine needle aspiration biopsy was a useful procedure in the diagnosis of thyroid cancer with a high concordance with the diagnoses confirmed by freezing and paraffin. The papillary carcinoma proved to be the most common (71.2 %), whereas Hashimoto's thyroiditis was the most associated lesion. Radical surgery predominated in patients that required conservative surgery according to the AGES' prognostic index. The complications were associated with radical surgery. CONCLUSIONS. Thyroid cancer is more frequent in middle aged females. The fine needle aspiration biopsy is very important at the time of recommending the surgical technique, taking into account the high index of concordance with paraffin biopsy. The AGES' prognostic index was not always taken into account for selecting the surgical technique. That's why, it was observed a predominance of the most radical procedures

Keywords : Thyroid cancer; AGES' prognostic index; surgical treatment.

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