Dergiler / Cumhuriyet Tıp Dergisi (ELEKTRONİK) / 2015 / Cilt: 37 - Sayı: 2
Thyroid cancer incidence in thyroidecto- mies carried out in Sivas
- Sayfa
- 142–146
- DOI
- —
Özet
Amaç: Tiroid kanserleri endokrin organların en sık görülen malignitesidir. Bu çalışmanın amacıSivas ilinde yapılan tiroidektomilerde tiroid kanseri sıklığını ve kanser tiplerini araştırmaktır.Yöntem: Ocak 2008-Ocak 2014 yılları arasında Cumhuriyet Üniversitesi Tıp Fakültesi GenelCerrahi kliniğinde yapılan tiroidektomi operasyonlarına ait patoloji raporlarıretrospektif olarak arşivden tarandı. Altı yıl içerisinde opere edilen toplam 521 olguya aitpostoperatif histopatolojik bulgular değerlendirildi.Bulgular: Toplam 521 olgunun 122si (%23,41) erkek, 399u (%76,58) kadındı. En genç hasta 15en yaşlı hasta 84 yaşında olup yaş ortalaması 49,02±13,48 idi. Histopatolojik incelemede 272(%52,2) olguda nodüler hiperplazi, 32 (%6,1) olguda diffüz hiperplazi, 22(%4,2) olguda lenfositiktiroidit, 30 olguda(%5,8)nodüler hiperplazi ve lenfositik tiroidit birlikteliği, 151 (%29) olguda isetiroid tümörü saptandı. 151 tümör olgusunun 9u (%5.9) benign, 142si (%94,0) malign idi. Kansertipi olarak 133 (%25,5) olguda papiller karsinom, 3 (%0,6) olguda folliküler karsinom, 2 (%0,4)olguda medüller karsinom ve 3 (%0,6) olguda anaplastik karsinom,1 (%0,2) olguda metastazsaptandı.14 (%2,7) olguda malign potansiyeli bilinmeyen iyi diferensiye tümör saptandı.Sonuç: Sivas ilinde yapılan tiroidektomilerde tiroid kanseri sıklığı %27,3 olup, en sık papillertiroid karsinomu görülmektedir.
Abstract
Objective: Thyroid cancers are the most common malignancy of the endocrine organs. Thepurpose of this study is to research the thyroid cancer incidence in the thyroidectomies carried outin the province of Sivas and cancer types.Methods: The pathology reports regarding the thyroidectomy operations carried out in the GeneralSurgery Clinic of the School of Medicine, Cumhuriyet University between January 2008 andJanuary 2014 were retrospectively scanned from the archive. The postoperative histopathologicalfindings, belonging to totally 521 cases operated within six years, were evaluated.Results: 122 (23.41%) of the total 521 cases were men and 399 (76.58%) were women. Theyoungest patient was 15 and the oldest patient was 84 years old, and also mean age of the patientswas 49.02 ±13.48. The followings were detected in the histopathological examination; nodularhyperplasia in 272 (52.2%) cases, diffuse hyperplasia in 32 (6.1%) cases, lymphocytic thyroiditisin 22 (4.2%) cases, association of nodular hyperplasia and lymphocytic thyroiditis in 30 (5.8%)cases and also thyroid neoplasm in 151 (29%) cases. 9 (5.9%) of 151 neoplasm cases were benignand 142 (94.0%) were malign. As the cancer type, the followings were detected; papillarycarcinoma in 133 (25.5%) cases, follicular carcinoma in 3 (0.6%) cases, medullary carcinoma in 2(0.4%) cases and anaplastic carcinoma in 3 (0.6%) cases, metastases in 1 (0.2%) case. The welldifferentiated tumour of uncertain malignant potential was detected in 14 (2.7%) cases.Conclusion: The cancer incidence in thyroidectomies carried out in the province of Sivas wasrecorded as 27.3% and the papillary thyroid carcinoma was the most common carcinoma.