medigraphic.com

2001, Number 3

Rev Med Hosp Gen Mex 2001; 64 (3)

Frequency of the thyroid pathology

López-López JA, Hurtado-López LM, Zaldivar-Ramírez FR, Soto-Abraham MV, Arellano-Montaño S

Language: Spanish
References: 28
Page: 137-142
PDF size: 70.25 Kb.


ABSTRACT

Introduction: The frequencies of surgical thyroid pathology play an important role in the diagnosis, treatment, prognosis and prevention of the thyroid disease. Objective: To know the actual frequency of the surgical thyroid pathology. Materials and methods: Descriptive, transversal non-comparative study in 1038 patients subjected to thyroid surgery from 1992 to 1996. Studying the following variables. Dependent: Pathological diagnosis. Independent: Age, sex and clinical presentation. Analyzed by means and ranges. Results: Women had a predominance of 15:1, the average age was 39.9 years. The Cancer represents 20.1% and the most common was papillary (85.2%) Follow by medullary (6.7%). The non toxic goiter represent 39.1% been the nodular presentation in 87.1%, the adenomas was the 6.2%, the most frequency is de follicular (86%). Same autoimmune disease required surgery and represent 34.6%. The most frequency clinical presentation was the thyroid nodule 60.7% and the frequency of cancer in this was 33%. Conclusion: 1. Women predominance has increased. 2. The most frequency clinical presentation is the thyroid nodule. 3. The frequency of cancer in the thyroid nodule is 33%. 4. Medullary cancer has ground in the frequency.


REFERENCES

  1. Reeve T. Thyroid disease-role of the surgeon at the turn of the century. World J Surg 2000; 24: 885.

  2. Kebebew E, Clark HO. Differentiated thyroid cancer. “complete” rational approach. World J Surg 2000; 24: 942-951.

  3. Mazzaferri EL, Kloos RT. Current approaches to primary therapy for papillary and follicular thyroid cancer. J Clin Endocrinol Metab 2001; 86: 1447-1463.

  4. Cady B. Staging in thyroid carcinoma. Cancer 1998; 83: 844-847.

  5. Wells SA, Franz C. Medullary carcinoma of the thyroid gland. World J Surg 2000; 24: 952-956.

  6. Okamoto T, Lihara M, Obara T. Management of hyperthyroidism due to Graves’ disease and nodular. Disease World J Surg 2000; 24: 957-961.

  7. Werga-Kjellman P, Zedenius J, Tallstedt L, Traisk F, Ludell G, Wallin G. Surgical treatment of hyperthyroidism: A ten year experience. Thyroid 2001; 11: 187-192.

  8. Sánchez BJ, Lamata HF, García GFA, Martínez DM, González GM. Elección de la técnica quirúrgica en el tratamiento de la enfermedad de Graves-Basedow. Cir Gen 2000; 22: 311-318.

  9. Hurtado-López LM, Muñoz-Solís O, Pulido-Cejudo A, Zaldivar-Ramírez FR, Basurto-Kuba E. Enfermedad de Graves- Basedow “pura”. ¿Una indicación quirúrgica definitiva? Cir Gen 1999; 21: 151-154.

  10. Gough IR, Wilkinson D. Total thyroidectomy for management of thyroid disease. Wordl J Surg 2000; 24: 962-965.

  11. Wheeler MH. Total thyroidectomy for benign thyroid disease. Lancet 1998; 351: 1526-1527.

  12. Hellwig CA. Thyroid gland in Kansas. Am J Clin Pathol 1935; 5: 103-105.

  13. McConahey WM, Hay ID, Woolner LB, Van Heerden JA, Taylor WF. Papillary thyroid cancer treated at the Mayo Clinic 1946 through 1970: Initial manifestation, pathologic findings, therapy and outcome. Mayo Clin Proc 1986; 61: 978-996.

  14. Kuma K, Matzuzuka F, Kobayashi A, Hirai K, Morita S, Miyauchi A et al. Outcome of longstanding solitary thyroid nodules. World J Surg 1992; 16: 583-587.

  15. Hundahl SA, Fleming ID, Fremgen AM, Menck HR. A national cancer data base report on 53,856 cases of thyroid carcinoma treated in the US, 1985-1995. Cancer 1998; 23: 2638-2648.

  16. Boigon M, Moyer D, Solitary thyroid nodules. Separating benign from malignant conditions. Postgrad Med 1995: 77-80.

  17. Hurtado-López LM, Zaldivar-Ramírez FR, Pulido-Cejudo A, Muñoz-Solís O, Basurto Kuba E. Criterios clínicos de malignidad en el nódulo tiroideo. ¿Están vigentes? Cir Gen 2001; 23: 25-28.

  18. Werga P, Wallin G, Skoog L. Expanding role of fine-needle aspiration cytology in thyroid diagnosis and management. World J Surg 2000; 24: 907-912.

  19. Vargas-Domínguez A, Arellano S, Alonso P, Viramontes-Madrid JL. Sensibilidad, especificidad y valores predictivos de la biopsia con aguja fina en el cáncer de tiroides. Gac Med Mex 1994; 130: 55-58.

  20. Wilson GA, O’Mara RE. Uptake tests, thyroid and whole body imaging with isotopes. In Falk SA. Thyroid Disease: Endocrinology, Surgery, Nuclear Medicine and Radiotherapy. 2nd ed. Philadelphia: Lippincott-Reaven Publishers, 1997: 113-133.

  21. Nishiyama RH. Overview of surgical pathology of the thyroid gland. World J Surg 2000; 24: 898-906.

  22. Haddad RE. Cirugía de tiroides. Fascículos especiales, Academia Mexicana de Cirugía 1971; 5: 12-14.

  23. Mendoza-Manríquez DA, Ávila-Patiño A, Reyes-Pliego B, Borges-Rosas R, López-Terrones A. Cirugía de tiroides en el Hospital General de México. Rev Med Hosp Gen Mex 1981; XLIV: 224-235.

  24. Vargas-Domínguez A, Hurtado-López LM, Arellano-Montaño S. Estudio de 107 tiroidectomías. Cir Cir 1990; 57: 163-167.

  25. Basurto-Kuba E, Garza-Flores JH, Vázquez-Ortega R, Mainero-Alvarado F, Pulido-Cejudo A, Hurtado-López LM. Patología quirúrgica de la glándula tiroides. Experiencia de 20 años en el Hospital General de México. Cir Gen 1998; 20: 89-91.

  26. Vázquez-Ortega R, Basurto-Kuba E. Nódulo tiroideo solitario: Experiencia en 239 pacientes. Cir Gen 1998; 20: 99-101.

  27. Mazzaferri EL. Management of a solitary thyroid nodule. N Engl J Med 1993; 328: 553-559.

  28. Rodriguez-Cuevas S, Labastida-Almendaro S, Reyes-Cardoso JM, Rodriguez-Maya E. Papillary thyroid cancer in Mexico: review of 409 cases. Head Neck 1993; 15: 537-545.




2020     |     www.medigraphic.com