Incidental thyroid cancer in patients undergoing surgery for benign multinodular goitre: A retrospective clinical study

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Author Info

Adnan ?zpek Cumhur Selçuk Topal

Corresponding Author

Adnan ?zpek
Department of General Surgery, Health Sciences University, Umraniye Training and Research Hospital, Istanbul, Turkey

A B S T R A C T

Background and Objectives: In this study, we aimed to analyze the incidence and findings of incidental thyroid carcinoma (ITC) in patients undergoing thyroidectomy for benign multinodular goitre (MNG). Methods: A total of 361 consecutive MNG patients with benign (Bethesda II) Fine Needle Aspiration Cytology (FNAC) results who underwent thyroidectomy without any suspicion of malignancy or malignancy between January 2009 and January 2018 were retrospectively analyzed. Patients with ITC were evaluated in terms of age, sex, operation indication, surgery, tumor type, tumor diameter, tumor multicentricity and complications. Results: Of the total 361 patients, 288 (79.8%) were female and 73 (20.2%) were male and the mean age was 48.5 years. One-hundred-and-fourteen (31.6%) of the cases were operated for toxic MNG, 32 (8.9%) for toxic adenoma, 209 (57.9%) for 4 cm and larger nodule, and 6 (1.6%) for nodules accompanying parathyroid adenoma. ITC was detected in 42 (11.6%) cases; Papillary thyroid microcarcinoma was found in 38 (10.5%) and papillary thyroid carcinoma in 4 (1.1%). ITC was found in equal proportion (11.6%) in patients with and without hyperthyroidism. Conclusions: We believe that TT or HT is a suitable surgical treatment method in order to reduce the risk of reoperation and related morbidity in benign MNG patients.

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Article Type

Research Article

Publication history

Received: Thu 28, Feb 2019
Accepted: Tue 12, Mar 2019
Published: Fri 29, Mar 2019

Copyright

© 2023 Adnan ?zpek. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.JSO.2019.01.007