Surgical treatment of nodular goiter and incidental malignancy rates
Selim Sözen, Şükrü Dölalan, Hüseyin Özgür Aytaç, Hasan Elkan
Şanlıurfa Balıklıgöl Hastanesi, Genel Cerrahi, Şanlıurfa, Türkiye
Abstract
Purpose: In this study we aimed to present our incidental malignancy rates in patients who were operated due to goiter.
Patients and Methods: The records of 114 patients who underwent surgery due to goiter between the years 2008–2009 were examined, retrospectively. Of the patients, 96 were women (84.21%), and 18 were men (15.78%).The mean age was 44.72±11.32 years.
Results: Postoperative histopathological examination results were malignant in 16 patients (14.03%); 12 (75%) of these were papillary carcinoma, 3 (18.75%) were follicular carcinoma and 1 (6.25%) was medullary carcinoma. The overall malignancy rate was 14.03%.
Conclusion: We think that malignancy rates will increase, as the experience of cytologists increases. In conclusion, more extended surgical resections should be preferred by the surgeon for the treatment of benign nodular goiter.
Keywords: Thyroid nodule, fine needle aspiration biopsy, ultrasonography