Acta Oncol Tur.. 2021; 54(1): 87-91 | DOI: 10.5505/aot.2021.93823

Retrospective Analysis of Our Thyroidectomy Cases

Semih Ak¹, Mehmet Erkan Kaplama^2
1Department of Otorhinolaryngology, Þanlýurfa Balýklýgöl State Hospital, Þanlýurfa, Turkey
²Department of Otorhinolaryngology, University of Health Sciences Þanlýurfa Mehmet Akif Ýnan Training and Research Hospital, Þanlýurfa, Turkey

INTRODUCTION: Thyroid diseases are common diseases in the community. There are different surgical options for benign or malignant lesions. The aim of this study is to retrospectively examine patients who have undergone thyroidectomy, and to evaluate age, gender, nodule size, fine needle aspiration biopsy results, complication development, postoperative pathology results, and types of malignancy.
METHODS: In this study, 59 patients who underwent thyroidectomy at the Department of Otorhinolaryngology (ENT) in Sanliurfa M.Akif Inan Training and Research Hospital between September 2018 and June 2020 were evaluated retrospectively.
RESULTS: 40 of the patients were female (67.7%) and 19 were male (22.3%). The mean age of the patients was 47.6 years and the age range was 32-74. The nodule size determined in the thyroid USG was between 8x7mm and 68 x 40mm (average 30.2 x 21.7mm).. Biopsy results; It was benign in 24 patients, atypia in 8 patients, nondiagnostics in 7 patients, papillary cell carcinoma in 10 patients, suspicion of malignancy in 8 patients, and follicular neoplasia in 2 patients. 25 patients underwent bilateral total thyroidectomy and 34 patients underwent unilateral total lobectomy. Postoperative pathology results; In 42 (71.1%) patients, benign (nodular hyperplasia, benign colloidal nodule, lymphocytic thyroiditis, hachyimato thyriditis) were reported as malignant in 17 (29.9%) patients. 15 of the malignancies were papillary carcinoma and 2 were follicular carcinoma.
DISCUSSION AND CONCLUSION: In this study, the distribution of patients undergoing thyroidectomy and histopathological diagnoses in malignant patients are similar to those in the literature. However, the rate of malignancy after thyroidectomy is higher than the literature. This situation can be explained by repeating the biopsy when every patient needs to perform a fine needle biopsy before the surgery, showing sensitivity in patient selection, and avoiding unnecessary indications.

Keywords: Thyroidectomy, Fine-needle aspiration biyopsy, Thyroid cancers, Lobectomy, Goiter

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Tiroidektomi Olgularýmýzýn Retrospektif Analizi

Semih Ak¹, Mehmet Erkan Kaplama^2
1Þanlýurfa Balýklýgöl Devlet Hastanesi, Kulak Burun Boðaz Hastalýklarý Kliniði, Þanlýurfa
²Saðlýk Bilimleri Üniversitesi Þanlýurfa Mehmet Akif Ýnan Eðitim Ve Araþtýrma Hastanesi, Kulak Burun Boðaz Hastalýklarý Kliniði, Þanlýurfa

GÝRÝÞ ve AMAÇ: Tiroid hastalýklarý toplumda oldukça sýk görülen hastalýklardýr. Benign yada malign lezyonlar için farklý cerrahi seçenekler mevcuttur. Bu çalýþmanýn amacý daha önce tiroidektomi ameliyatý geçirmiþ olan hastalarýn geriye dönük olarak incelenerek yaþ, cinsiyet, nodül boyutlarý ince iðne biyopsi sonuçlarý,komplikasyon geliþimi, ameliyat sonrasý patoloji sonuçlarý, malignite türlerinin deðerlendirilmesidir.
YÖNTEM ve GEREÇLER: Bu çalýþmada Eylül 2018-Haziran 2020 tarihleri arasýnda Saðlýk Bilimleri Üniversitesi Þanlýurfa M.Akif Ýnan Eðitim ve Araþtýrma Hastanesi Kulak Burun Boðaz Hastalýklarý(KBB) Kliniðinde tiroidektomi yapýlan 59 hasta geriye dönük olarak deðerlendirildi.
BULGULAR: Hastalarýn 40’ý kadýn (%67.7), 19’u erkekti (%22.3).Hastalarýn ortalama yaþý 47.6, yaþ aralýðý 32-74 idi. Tiroid USG’de belirlenen nodul boyutu 8x7mm ile 68 x 40 mm ile arasýndaydý(ortalama 30,2 x 21,7 mm).. Biyopsi sonuçlarý; 24 hastada benign, 8 hastada önemi belirsiz atipi, 7 hastada nondiagnostik, 10 hastada papiller hücreli karsinom, 8 hastada malignite þüphesi ve 2 hastada foliküler neoplazi þeklinde idi. Hastalarýn 25’ine bilateral total tiroidektomi, 34’ine ise unilateral total lobektomi operasyonu yapýlmýþtý. Postoperatif patoloji sonuçlarý; 42 (%71.1) hastada benign (nodüler hiperplazi, benign koloidal nodül, lenfositik tiroidit, haþimato tiroiditi), 17 (% 29.9) hastada malign olarak raporlandý. Malignlerin 15’i papiller karsinom ve 2’si foliküler karsinomdu.
TARTIÞMA ve SONUÇ: Bu çalýþmada tiroidektomi uygulanan hastalarýn daðýlýmý ve malign hastalarda histopatolojik tanýlarý literatür ile benzer özelliktedir. Ancak tiroidektomi sonrasý malignite oraný literatürden yüksektir. Bu durum her hastaya ameliyat öncesi mutlaka ince iðne biyopsisi yapýlmasý gerektiðinde biyopsinin tekrarlanmasý, hasta seçiminde hassasiyet gösterilmesi, gereksiz endikasyondan kaçýnýlmasý ile açýklanabilir.

Anahtar Kelimeler: tiroidektomi, ince iðne aspirasyon biyopsisi, tiroid kanserleri, lobektomi, guatr

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