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Cirugía paraguaya

versão On-line ISSN 2307-0420

Resumo

LEZCANO BONZI, María José  e  ADORNO, Arturo. FREQUENCY OF MALIGNANT THYROID PATHOLOGY IN THYROIDECTOMIZED PATIENTS WITH DIAGNOSIS OF MULTINODULAR BOCIO. Rev. Cir. Parag. [online]. 2018, vol.42, n.1, pp.19-23. ISSN 2307-0420.  https://doi.org/10.18004/sopaci.2018.abril.19-23.

Introduction:

At present the number of oncological pathologies of the thyroid has been increasing. The incidental findings of neoplasms settled on benign nodular pathologies are striking. Early detection and adequate management allow reducing the morbidity and mortality of thyroid cancer whose treatment and management is currently standardized.

Objective:

To describe the frequency of malignant thyroid disease in thyroidectomized patients with pre-surgical diagnosis of multimodular goiter in the General Surgery service of the Central Hospital of the Social Security Institute, in the period from January 2015 to December 2016.

Methodology:

Observational descriptive retrospective cross section. The data were obtained from the computer operating system of the IPS, review of medical records and surgical records and pathological anatomy. Results: Of 296 thyroidectomized patients with preoperative diagnosis of multimodular goiter; 18.58% were diagnosed with some anatomopathological type of thyroid carcinoma. As for the age group, a predominance is observed in the age range between 41-60 years with 47.27%. Regarding sex, malignant pathology is predominant in males with 24.13%. The most frequent anatomopathological type resulted in papillary carcinoma with 69.09%. Taking into account the lobe of the most affected gland, it was found that, in a greater percentage, both lobes were affected 45.45%.

Conclusion:

It could be said that the frequency of thyroid carcinoma in thyroidectomized patients with pre-operative diagnosis of multimodular goiter reaches a high percentage and to be taken into account for the diagnosis and timely treatment of said pathology.

Palavras-chave : Thyroid gland; Goiter; Thyroidectomy; Carcinoma; Papillary carcinoma.

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