Clinical management and outcomes of papillary, follicular and medullary thyroid cancer surgery

Med Glas (Zenica). 2013 Feb;10(1):164-7.

Abstract

The clinical characteristics, pathological subtypes and patients' survival in 40 patients with thyroid carcinoma between March 2007 and March 2012 were evaluated. This study included 33 (82.5 %) females and seven (17.5%) males (female to male ratio of 4.7:1). The median age of patients was 47.5 (range; 24-64). Papillary carcinoma was the commonest pathological subtype (23 patients, 57.5%), followed by follicular carcinoma (14 patients, 35%) and medullary carcinoma (3 cases, 7.5%). Total thryoidectomy was performed in 30 (75%), lobectomy in six (15%), subtotal and multifocal thryoidectomy in two (5%) patients. The median time of follow up was 3 years with range of 1-5 years. After ive years 34 (85%) patients were alive and six (15%) were dead. The overall 5-year actuarial survival was 85%, for papillary carcinoma 91.3%, for follicular carcinoma 85.7% and for medullary carcinoma it was 33.3%. The results suggest that total thryoidectomy had better outcome in comparison with other surgeries.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adenocarcinoma, Follicular / diagnosis
  • Adenocarcinoma, Follicular / epidemiology
  • Adenocarcinoma, Follicular / surgery*
  • Adult
  • Carcinoma, Neuroendocrine / surgery
  • Carcinoma, Papillary, Follicular / surgery
  • Female
  • Follow-Up Studies
  • Humans
  • Incidence
  • Iran / epidemiology
  • Male
  • Middle Aged
  • Retrospective Studies
  • Risk Factors
  • Sex Distribution
  • Thyroid Neoplasms / diagnosis
  • Thyroid Neoplasms / epidemiology
  • Thyroid Neoplasms / surgery*
  • Thyroidectomy* / methods
  • Treatment Outcome

Supplementary concepts

  • Thyroid cancer, medullary