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Revista de Ciencias Médicas de Pinar del Río
On-line version ISSN 1561-3194
Abstract
IGLESIAS DIAZ, Gladys; BRAVO DIAZ, Juan Carlos; GARCIA GARCIA, Ivan and CECILIA PAREDES, Eduardo Enrrique. Incidence of papillary microcarcinoma in patients operated on thyroid cancer. Rev Ciencias Médicas [online]. 2021, vol.25, n.1 Epub Feb 01, 2021. ISSN 1561-3194.
Introduction:
although papillary thyroid microcarcinoma has suffered an increase in incidence in the last decades, the extension of gland resection and oncological treatment is still a controversy.
Objective:
to determine the incidence of papillary thyroid microcarcinoma in patients who have undergone surgery for thyroid cancer at Leon Cuervo Rubio Hospital in Pinar del Río, 2018-2020.
Methods:
a descriptive and cross-sectional study of 22 patients operated for thyroid microcarcinoma was carried out, who underwent a total thyroidectomy, collecting data from the clinical histories, surgery reports and biopsies. Observation and analysis approaches were used.
Variables to be analyzed:
size of the tumor, BAAF results, definitive diagnosis, histological variety, associated thyroid diseases and extension of the disease
Results:
the 22 patients operated on thyroid microcarcinoma represented 42.30% of the total number of cases operated for cancer reasons. Female sex predominated and average age is 49.9 years; 31.81% of the patients with biopsy correspond to the Bethesda I, II and III group, however they were carriers of microcarcinoma; 18% of the patients were carriers of two histological varieties of carcinoma.
Conclusions:
papillary thyroid microcarcinoma continues the increase of its incidence, especially in patients over 45 years old, with extension beyond the gland, which aggravates the prognosis of the patient suffering from it and requires multidisciplinary medical care to determine prognostic risk factors and to improve the behavior to be followed and the quality of life of the patient.
Keywords : PROGNOSIS; BIOPSY, FINE-NEEDLE; THYROIDECTOMY.