Carcinoma de tiroides incidental versus no incidentalpresentación clínica, tratamiento quirúrgico y pronóstico

  1. Elena González Sánchez-Migallón 1
  2. Benito Flores Pastor 1
  3. Carmen Victoria Pérez Guarinos 1
  4. Joana Miguel Perelló 1
  5. Asunción Chaves Benito 2
  6. Fátima Illán Gómez 3
  7. Andrés Carrillo 4
  8. José Luis Aguayo Albasini 1
  1. 1 Hospital General Universitario Morales Meseguer. Servicio de Cirugía General
  2. 2 Hospital General Universitario Morales Meseguer. Servicio de Anatomía Patológica
  3. 3 Hospital General Universitario Morales Meseguer. Servicio de Endocrinología y Nutrición
  4. 4 Hospital General Universitario Morales Meseguer. Servicio de Medicina Intensiva
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Journal:
Endocrinología y nutrición: órgano de la Sociedad Española de Endocrinología y Nutrición

ISSN: 1575-0922

Year of publication: 2016

Volume: 63

Issue: 9

Pages: 475-481

Type: Article

DOI: 10.1016/J.ENDONU.2016.05.009 DIALNET GOOGLE SCHOLAR

More publications in: Endocrinología y nutrición: órgano de la Sociedad Española de Endocrinología y Nutrición

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Abstract

Background and objective Thyroid cancer may be clinically evident as a tumor mass in the neck or as a histopathological incidental finding after thyroid surgery for an apparent benign condition. Our objective was to assess the differences in clinical signs, surgical management, and course between incidental and clinically diagnosed thyroid tumors. Methods A retrospective study was conducted on patients operated on for benign or malignant thyroid disease from January 2000 to March 2014. Among the 1415 patients who underwent any thyroid surgery, 264 neoplasms were found, of which 170 were incidental. A comparison was made of incidental versus non-incidental carcinomas. Among incidental carcinomas, cases whose indication for surgery was Graves’ disease were compared to those with multinodular goiter. Results Incidental carcinomas were in earlier stages and required less aggressive surgery. There were no differences in surgical complications between incidental and clinical tumors, but mortality and relapses were markedly higher in non-incidental cancers (4.4% vs 0% and 13.2% vs 4.8% respectively). Carcinomas developing on Graves’ disease showed no differences from all other incidental tumors in terms of complications, mortality, or relapse after surgery. Conclusions Early stage thyroid cancer has better survival and prognosis after surgical treatment.

Data source: Dialnet