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Title
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The unexpected thyroid cancer
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Author
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Abstract
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| Thyroid cancer has an increase incidence and prevalence. Aim: to evaluate the prevalence of unexpected / incidental thyroid cancer. Methods: retrospective study performed in three surgical centers, specialised in endocrine surgery. Results: 83 cases with thyroid cancer was retrospectively reviewed. Most cases were papillary cancer (54%), followed by follicular cancer (15%) and medullar cancer (4%). The incidence of unexpected thyroid cancer was 30.1%. The initial diagnosis were: multinodular goiter in 14 cases and cystic or adenomatous nodule in another 11 cases. The histologic type was papillar carcinoma in 16 cases and follicular cancer in the other 9 cases. The first operation was considered adequate in 10 cases, and in 15 cases a completion thyroidectomy was necessary. The postoperative morbidity of the second operation was 13.3%: unilateral recurrent nerve palsy 1 case and hypoparathiroidism 1 case. The recurrence rate was 20% (!), but all cases was succesfully treated by radioactive iodine. Conclusions: Unexpected thyroid cancer more frequent than previously thought (30.1%). A primary operation should best consist of total unilateral lobectomy for a benign nodule or unilateral goiter and total lobectomy associated with subtotal controlateral lobectomy for a cold nodule or multinodular bilateral goiter. |
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Language
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English
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Source (journal)
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Jurnalul de chirurgie. - Iaşi
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Publication
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Iaşi
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2008
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ISSN
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1584-9341
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Volume/pages
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4
:1
(2008)
, p. 61-64
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Full text (open access)
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