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Surgical Management of Differentiated Thyroid Carcinomas : Experience in a Low-Income Country

Objective: To share our surgical experience in the management of differentiated thyroid carcinomas in a lowincome country. Materials and Methods: We performed a retrospective study in our department where 21 cases of differentiated thyroid carcinomas were recorded from February 2001 to December 2010. Results: We performed 334 thyroidectomies for 326 patients. Of this group, 21 differentiated thyroid carcinomas were diagnosed. Differentiated thyroid carcinomas represented 6.4% of all thyroid neoplasm managed during the same period (n=326). Median age was 44 years (range 13 - 75 years). Male to female ratio was 1:20. Six (6) patients underwent primary hemithyroidectomy in other institutions while the fifteen left were entirely managed in our clinic. Of them, one patient was referred with positive fine needle aspiration cytology for papillary thyroid carcinoma (incidental detection by fine needle aspiration biopsy) and another had history of sinus pyriform fistula. Pathology of surgical specimens showed 13 cases of papillary thyroid carcinomas and 8 cases of follicular thyroid carcinomas with association to Hashimoto thyroiditis and Grave’s disease in respectively in 1 case. Twenty cases were incidentally discovered by thyroid surgery and undergone completion thyroidectomy with prophylactic central neck dissection, completion thyroidectomy alone, modified lateral neck dissection alone and surveillance respectively in 13, 1, 1 and 6 cases. Complications of thyroid surgery were bilateral recurrent laryngeal nerve paralysis and hematoma respectively in 1 case. Median hospital stay was 5 days ranged from 3 to 15 days. During the follow-up period, most of our patients were lost of follow-up. Conclusion: Management guidelines of differentiated thyroid carcinomas are well established but not applicable to lowincome country for several reasons. National guidelines, based on further researches, must then be implemented to improve our practice.

Auteur(s) : Deguenonvo REA, Diouf-Ba MS, Dial MC, Thiam A, Regonne PEJ, Diop A, Nosse G, Sarr MN, Maiga S, Ndiaye C, Diom ES, Ndiaye M, Tall A, Diallo BK, Ndiaye
Pages : 4
Année de publication : 2016
Revue : La Prensa Medica Argentina
N° de volume : 102:2
Type : Article
Mise en ligne par : DEGUENONVO Richard Edouard Alain