<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2307-0420</journal-id>
<journal-title><![CDATA[Cirugía paraguaya]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Cir. Parag.]]></abbrev-journal-title>
<issn>2307-0420</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Paraguaya de Cirugía]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2307-04202018000100019</article-id>
<article-id pub-id-type="doi">10.18004/sopaci.2018.abril.19-23</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[FRECUENCIA DE PATOLOGIA TIROIDEA MALIGNA EN PACIENTES TIROIDECTOMIZADOS CON DIAGNOSTICO DE BOCIO MULTINODULAR]]></article-title>
<article-title xml:lang="en"><![CDATA[FREQUENCY OF MALIGNANT THYROID PATHOLOGY IN THYROIDECTOMIZED PATIENTS WITH DIAGNOSIS OF MULTINODULAR BOCIO]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lezcano Bonzi]]></surname>
<given-names><![CDATA[María José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Adorno]]></surname>
<given-names><![CDATA[Arturo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Central del Instituto de Previsión Social  ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Central del Instituto de Previsión Social  ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2018</year>
</pub-date>
<volume>42</volume>
<numero>1</numero>
<fpage>19</fpage>
<lpage>23</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2307-04202018000100019&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2307-04202018000100019&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2307-04202018000100019&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción : En la actualidad el número de patologías oncológicas de las tiroides ha ido en aumento. Llama la atención los hallazgos incidentales de neoplasias asentadas sobre las patologías benignas nodulares. La detección temprana y el manejo adecuado permiten disminuir la morbimortalidad del cáncer de tiroides cuyo tratamiento y manejo se encuentra estandarizado en la actualidad.  Objetivo: Describir la frecuencia de la patología tiroidea maligna en pacientes tiroidectomizados con diagnóstico pre quirúrgico de bocio multimodular en el servicio de Cirugía General del Hospital Central de Instituto de Previsión Social, en el periodo comprendido de enero 2015 a diciembre 2016.  Material y Metodología: Observacional descriptivo retrospectivo de corte trasversal. Los datos fueron obtenidos del sistema operativo informático del IPS, revisión de historias clínicas y fichas operatorias y anatomía patológicas.  Resultados: De 296 pacientes tiroidectomizados con diagnóstico pre operatorio de bocio multimodular; 18,58% fueron diagnosticados con algún tipo anatomopatológico de carcinoma de tiroides. En cuanto a la franja etaria se constata un predominio en el rango de edad comprendido entre 41-60 años con un 47,27 %. En cuanto al sexo se constata predominio de patología maligna en el masculino con 24,13%. El tipo anatomopatológico más frecuente resulto el carcinoma papilar con 69,09%. Teniendo en cuenta el lóbulo de la glándula mayormente afectada se constató que, en mayor porcentaje, estaban afectados ambos lóbulos 45,45%.  Conclusión: Se podría decir que la frecuencia del carcinoma de tiroides en pacientes tiroidectomizados con diagnóstico pre operatorio de bocio multimodular alcanza un porcentaje elevado y a tener en cuenta para el diagnóstico y tratamiento a tiempo de dicha patología.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  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.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Glándula Tiroides]]></kwd>
<kwd lng="es"><![CDATA[Bocio]]></kwd>
<kwd lng="es"><![CDATA[Tiroidectomía]]></kwd>
<kwd lng="es"><![CDATA[Carcinoma]]></kwd>
<kwd lng="es"><![CDATA[Carcinoma papilar]]></kwd>
<kwd lng="en"><![CDATA[Thyroid gland]]></kwd>
<kwd lng="en"><![CDATA[Goiter]]></kwd>
<kwd lng="en"><![CDATA[Thyroidectomy]]></kwd>
<kwd lng="en"><![CDATA[Carcinoma]]></kwd>
<kwd lng="en"><![CDATA[Papillary carcinoma]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bauer]]></surname>
<given-names><![CDATA[PS]]></given-names>
</name>
<name>
<surname><![CDATA[Murray]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Clark]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Pontes]]></surname>
<given-names><![CDATA[DS]]></given-names>
</name>
<name>
<surname><![CDATA[Sippel]]></surname>
<given-names><![CDATA[RS]]></given-names>
</name>
<name>
<surname><![CDATA[Chen]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Unilateral thyroidectomy for the treatment of benign multinodular goiter]]></article-title>
<source><![CDATA[J Surg Res.]]></source>
<year>2013</year>
<volume>184</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>514-8</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gac]]></surname>
<given-names><![CDATA[EP]]></given-names>
</name>
<name>
<surname><![CDATA[Cabané]]></surname>
<given-names><![CDATA[TP]]></given-names>
</name>
<name>
<surname><![CDATA[Amat]]></surname>
<given-names><![CDATA[VJ]]></given-names>
</name>
<name>
<surname><![CDATA[Rodríguez]]></surname>
<given-names><![CDATA[MF]]></given-names>
</name>
<name>
<surname><![CDATA[Cardemil]]></surname>
<given-names><![CDATA[RF]]></given-names>
</name>
<name>
<surname><![CDATA[Parada]]></surname>
<given-names><![CDATA[CF]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Tiroidectomia sin ligaduras: evaluando Ligasure Precise®]]></article-title>
<source><![CDATA[Rev Chil Cir.]]></source>
<year>2012</year>
<volume>60</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>127-31</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Duran]]></surname>
<given-names><![CDATA[AO]]></given-names>
</name>
<name>
<surname><![CDATA[Anil]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Gursoy]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Nar]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Inanc]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Bozkurt]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Thyroid volume in patients with glucose metabolism disorders]]></article-title>
<source><![CDATA[Arq Bras Endocrinol Amp Metabol]]></source>
<year>2014</year>
<volume>58</volume>
<numero>8</numero>
<issue>8</issue>
<page-range>824-7</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gervasi]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Orlando]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Lerose]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Amato]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Docimo]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Zeppa]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Thyroid surgery in geriatric patients: a literature review]]></article-title>
<source><![CDATA[BMC Surg.]]></source>
<year>2012</year>
<volume>12</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>13-6</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Schneider]]></surname>
<given-names><![CDATA[DF]]></given-names>
</name>
<name>
<surname><![CDATA[Nookala]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Jaraczewski]]></surname>
<given-names><![CDATA[TJ]]></given-names>
</name>
<name>
<surname><![CDATA[Chen]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Solorzano]]></surname>
<given-names><![CDATA[CC]]></given-names>
</name>
<name>
<surname><![CDATA[Sippel]]></surname>
<given-names><![CDATA[RS]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Thyroidectomy as Primary Treatment Optimizes BMI in Patients with Hyperthyroidism]]></article-title>
<source><![CDATA[Ann Surg Oncol]]></source>
<year>2014</year>
<volume>21</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>2303-9</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Zhang]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Ma]]></surname>
<given-names><![CDATA[X]]></given-names>
</name>
<name>
<surname><![CDATA[Deng]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Liu]]></surname>
<given-names><![CDATA[Z]]></given-names>
</name>
<name>
<surname><![CDATA[Wei]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Wang]]></surname>
<given-names><![CDATA[X]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The effect of chronic lymphocytic thyroiditis on patients with thyroid cancer]]></article-title>
<source><![CDATA[World J Surg Oncol]]></source>
<year>2014</year>
<volume>12</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>234-40</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lin]]></surname>
<given-names><![CDATA[Y-C]]></given-names>
</name>
<name>
<surname><![CDATA[Wu]]></surname>
<given-names><![CDATA[C-W]]></given-names>
</name>
<name>
<surname><![CDATA[Chen]]></surname>
<given-names><![CDATA[H-C]]></given-names>
</name>
<name>
<surname><![CDATA[Chen]]></surname>
<given-names><![CDATA[H-Y]]></given-names>
</name>
<name>
<surname><![CDATA[Lu]]></surname>
<given-names><![CDATA[I-C]]></given-names>
</name>
<name>
<surname><![CDATA[Tsai]]></surname>
<given-names><![CDATA[C-J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Surgical treatment for thyrotoxic hypokalemic periodic paralysis: case report]]></article-title>
<source><![CDATA[World J Surg Oncol]]></source>
<year>2012</year>
<volume>10</volume>
<page-range>21</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Alhefdhi]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Mazeh]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Chen]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Role of Postoperative Vitamin D and/or Calcium Routine Supplementation in Preventing Hypocalcemia After Thyroidectomy: A Systematic Review and Meta-Analysis]]></article-title>
<source><![CDATA[The Oncologist]]></source>
<year>2013</year>
<volume>18</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>533-42</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Adam]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Speicher]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Pura]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Dinan]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Reed]]></surname>
<given-names><![CDATA[SD]]></given-names>
</name>
<name>
<surname><![CDATA[Roman]]></surname>
<given-names><![CDATA[SA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Robotic Thyroidectomy for Cancer in the US: Patterns of Use and Short-Term Outcomes]]></article-title>
<source><![CDATA[Ann Surg Oncol]]></source>
<year>2014</year>
<volume>21</volume>
<numero>12</numero>
<issue>12</issue>
<page-range>3859-64</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gursoy]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Rising thyroid cancer incidence in the world might be related to insulin resistance]]></article-title>
<source><![CDATA[Med Hypotheses]]></source>
<year>2010</year>
<volume>74</volume>
<page-range>35-6</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lee]]></surname>
<given-names><![CDATA[YS]]></given-names>
</name>
<name>
<surname><![CDATA[Lim]]></surname>
<given-names><![CDATA[Y-S]]></given-names>
</name>
<name>
<surname><![CDATA[Lee]]></surname>
<given-names><![CDATA[J-C]]></given-names>
</name>
<name>
<surname><![CDATA[Wang]]></surname>
<given-names><![CDATA[S-G]]></given-names>
</name>
<name>
<surname><![CDATA[Son]]></surname>
<given-names><![CDATA[S-M]]></given-names>
</name>
<name>
<surname><![CDATA[Kim]]></surname>
<given-names><![CDATA[S-S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Ultrasonographic findings relating to lymph node metastasis in single micropapillary thyroid cancer]]></article-title>
<source><![CDATA[World J Surg Oncol]]></source>
<year>2014</year>
<volume>1</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>234-50</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pezzolla]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Lattarulo]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Milella]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Barile]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Pascazio]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Ciampolillo]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Fabiano]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Palasciano]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Incidental carcinoma in thyroid pathology: our experience and review of the literature]]></article-title>
<source><![CDATA[Ann Ital Chir]]></source>
<year>2010</year>
<volume>81</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>165-9</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Costamagna]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Pagano]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Caputo]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Leutner]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Mercalli]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Alonzo]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Incidental cancer in patients surgically treated for benign thyroid disease. Our experience at a single institution]]></article-title>
<source><![CDATA[G Chir]]></source>
<year>2013</year>
<volume>34</volume>
<numero>1-2</numero>
<issue>1-2</issue>
<page-range>21-6</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Miccoli]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Minuto]]></surname>
<given-names><![CDATA[MN]]></given-names>
</name>
<name>
<surname><![CDATA[Galleri]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[D'Agostino]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Basolo]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Antonangeli]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Aghini-Lombardi]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Berti]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Incidental thyroid carcinoma in a large series of consecutive patients operated on for benign thyroid disease]]></article-title>
<source><![CDATA[Send to ANZ J Surg]]></source>
<year>2006</year>
<volume>76</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>123-6</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Medina Ruíz]]></surname>
<given-names><![CDATA[BA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Complicaciones post operatorias en la tiroidectomía total por bocio multinodular en el Instituto Nacional del Cáncer]]></article-title>
<source><![CDATA[An. Fac. Cienc. Méd. (Asunción)]]></source>
<year></year>
<volume>47</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>2014</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
