Thyroid Malignancy(Incidence and Management):A Three-Years Study in Al-Hilla Surgical Hospitals  Retrospective Study

A. Al-Katib, Ali; KH. Al-Fallouji, Saad; Hussein Jassim, Ali

	Thyroid Malignancy(Incidence and Management):A Three-Years Study in Al-Hilla Surgical Hospitals Retrospective Study
Medical Journal of Babylon
Article 1, Volume 6, Issue 1, 2009, Pages 186-200
Authors
Ali A. Al-Katib; Saad KH. Al-Fallouji; Ali Hussein Jassim
Abstract
Thyroid disease is the most common surgical endocrine disease, and thyroid carcinoma is the most common endocrine malignancy. It occurs more often in people who live in areas with iodine deficiency like our country. There is great controversy about the incidence of thyroid carcinoma. Objectives: to evaluate the characteristics of thyroid cancer patients in regard to demographic distribution, histological variants, mode of presentation and modalities of surgical treatment. Method: we retrospectively audited the records of 33 patients with histological proof of thyroid carcinoma, out of 375 goiter patients, between Jan 2005- Feb 2008 in Al-Hilla surgical hospitals. Results: Patients with thyroid carcinoma comprise 8.8% of goiter patients. Female constitute 75.7%, males 24.2%, with mean age (39.6) years. Male to female ratio is 1/3. Goiter was the most common presentation, with multinodular goiter account for 57.5%, and thyroid nodule account for 27.5%. The diagnoses confirmed by histopathological examination of thyroid specimens. The most common type of malignancy was papillary carcinoma 60.6%, followed by follicular type 18.1%. We have one case of metastatic carcinoma to the thyroid gland. Near total thyroidectomy was the most common surgical procedure performed. Conclusion: Thyroid carcinoma is not a rare tumor in our region. Better diagnostic tools should be available to reach the appropriate diagnoses. We are in real need for activation of national cancer registry to asses the problem on the national level.

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