The carcinoma incidence for postthyroidectomy patients

Ramazan ÇİÇEK, Akif CİNEL, Erhan ÇOLAK, Etem ALHAN, Serdar TÜRKYILMAZ, Sezgin MUMCU

Abstract

507 patients with goiter operated on our clinic between years 1994-1999 was enrolled in this study. 115 patient. (23 %) were male and 392 patients (77 %) were female. The thyroid pathologies were mostly seen in 30-44 age group. 88 % of nodüler hyperplasia appeared as cold and 12 % were appeared as hot nodules in thyroid scintigraphies. It was found 74 % to be nodular colloidal goiter, 8.2 % to hefollicular adenomas, 4.8 % to be thyroiditis, 4 % to be thyroid carcinoma in histopathological studies. The incidence of thyroid carcinoma was 3 % in multinodular goiters whereas it was 8.4 % in solitary nodules. 55 % of the thyroidal carcinomas were papillary, 25 % were f olucular, 10 % were anaplastik and 5 % were mixed in type. The incidence of carcinoma in multinodular goiters was lower than solitary nodular goiters.

Özet

Kliniğimizde 1994-1999 yıllan arasında cerrahi tedavisi yapılan 507 tiroid hastası retrospektif olarak incelendi. Hastaların 115'i (% 23) erkek ve 392'si (% 77) kadındı. Tiroid hastaları en çok 30-44 yaş grubunda dağılım göstermekteydi. Tiroid bezindeki hiperplazinin sintigrafik olarak % 88'i hipoaktif, % 12'si de hiperaktif görünüm vermekteydi. Histopatolojik tetkiklerde % 74 nodüler kolloidal guatr, % 8.2 folliküler adenom, % 4.8 tiroidit ve % 4 oranında da tiroid karsinomu tesbit edildi. Mu/tipi nodüllü vakaların % 3'ünde, soliter tek nodüllü vakaların da % 8.4'ünde karsinom olduğu görüldü. Tiroid karsinomlanııın % 55'ipapiller, % 25'i folliküler, % 10u anaplastik ve % 5'i de mikst tip olarak saptandı. Multinodiiler guatrlı hastalarda karsinom gelişme insidansı soğuk tek nodul 1ère göre düşüktü.