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Original Research

Ann Med Res. 2014; 21(1): 17-20


Clinical Approach and Results to Thyroid Tumors: A Retrospective Analysis of 41 Patients

Baran Acar, Erdem Yıldız, Ekrem Said Kankılıç, Rıza Murat Karaşen

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Abstract


Objectives: In our country considered endemic, thyroid diseases are an important public health problem that affects the country's economy. Medical and surgical treatment of thyroid diseases has been carried out by many medical centers. In this study, we retrospectively evaluated patients with thyroid patologies.

Material and Methods: In this study, 41 patients (8 male, 33 female; mean age 47.3 years; range 27-79 years) who have underwent any type of thyroid surgery were included at Ankara Kecioren Training and Research Hospital Department of Otolaryngology and Head Neck Surgery between August 2009 and November 2012. Of these, 26 patients (62%) and 15 patients (38%) had total thyroidectomy and lobectomy , retrospectively. Patient demographics were recorded to include age, race, sex and thyroid hormone levels. Other data recorded included indications for surgery, fine needle aspiration cytology, types of the surgery, number of incisions, final pathologic diagnosis, and duration of hospital stay, intraoperative complications, postoperative complications and outcomes. The mean follow-up period was 14 months (range 3 to 45 months).

Results: In this study, the mean age of male patients was 55.1 years and female patients 45.2 years, retrospectively. 73% of tumors was benign (31 patients, mean age 48 years) and 27% malignant (10 patients, mean age 44 years). Histopathologically, the most common malign tumor was papillary carcinoma (82%) followed by medullary carcinoma (18%). Median hospital stay was 4,3 days (range, 2-10 days). Recurrent nerve paresis that developed in two patients (5%) and one patient (2%) developed unilateral cord paralysis. No recurrences were observed.

Conclusion: Surgical results of thyroid pathologies may be favorable if they are timely and appropriately treated. 

Key Words: Papillary Carcinoma; Surgery; Recurrent Nerve.






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