Abstract

SOSA MARTIN, Gimel; MORALES PORTUONDO, Kelvis  and  MARTINEZ VALENZUELA, Noslen. Application of AGES prognostic rate for treatment of a well differentiated thyroid carcinoma. Rev Cubana Cir [online]. 2009, vol.48, n.3, pp. 0-0. ISSN 1561-2945.

INTRODUCTION: At the present times, the selection a suitable surgical treatment for patients presenting with an early differentiated thyroid carcinoma is a controversial question. The aim of present research was to describe and to assessment the diagnosis results and the treatment of this condition during 5 years. METHODS: Authors made an observational and descriptive study with added analytical elements, and a prospective one to retrieve information from patients presenting thyroid nodule seen in "Luís Díaz Soto" Higher Institute of Military Medicine (HIMM) from January 2002 to December 2006. AGES prognostic rate was applied in patients with well differentiated thyroid carcinoma stages I and II, according to international classification of tumors, nodules, and metastasis. RESULTS: Study sample included 73 patients of whom 69 were women (94,5%). From total of study patients, 42 had benign tumors (57,5%) and 31 had malign tumors (42,5%). From 31 diagnosed with carcinoma by paraffin, 21 had an score < 4 according AGES rate (lower risk), and only 11 of them (67,7%) has a conservative surgery of thyroid gland. CONCLUSIONS: There was a good concordance between fine-needle aspiration biopsy and [paraffin, where the first one is valuable in thyroid nodule exploration. AGE's rate not always was considered for selection of surgery but there was a trend to a more radical surgery. Major complications were associated with a great frequency for radical surgery.

Keywords : AGES prognostic rate; well differentiated carcinom.

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