Thyroid masses: an analysis of 131 cases

Yıl 2008, Cilt: 18 Sayı: 5, 289 - 293, 10.10.2008

Sedat Çağlı İmdat Yüce Ali Bayram Ercihan Güney

Öz

Objectives: We retrospectively analyzed patients undergoing surgery for thyroid masses. Patients and Methods: A total of 131 patients 80 males, 51 females who underwent surgery for thyroid masses between 1993 and 2007 were evaluated with respect to clinical findings, histopathologic diagnoses, and treatment modalities. Results: The thyroid masses were found benign in 48.1% and malignant in 51.9% of the patients. Fortyone females 65% and 22 males 35% had benign thyroid masses, while 39 females 57% and 29 males 43% had malignant thyroid masses. According to histopathologic results, the most common benign and malignant diagnoses were multinodular goiter n=57, 43.5% and papillary carcinoma n=50, 38.2% , respectively. The mean duration of complaints was 58 months for benign and 30 months for malignant tumors. Conclusion: Thyroid operations are becoming increasingly common in otorhinolaryngologic surgical procedures.

Anahtar Kelimeler

Thyroid gland/pathology, thyroid neoplasms/ epidemiology/surgery, thyroid nodule/diagnosis/surgery

Tiroid kitleleri: 131 olgunun değerlendirilmesi

Öz

Amaç: Tiroid kitlesi tanısıyla ameliyat edilen hastalar geriye dönük olarak incelendi.Hastalar ve Yöntemler: 1993-2007 yılları arasında tiroid kitlesi öntanısıyla ameliyat edilen 131 hastanın 80 erkek, 51 kadın klinik bulguları, histopatolojik sonuçları ve uygulanan tedavi yöntemleri değerlendirildi.Bulgular: Hastaların %48.1’inde benign, %51.9’unda malign tiroid kitlesi saptandı. Cinsiyet dağılımı benign tümörlü grupta 41 kadın %65 , 22 erkek %35 ; malign tümörlü grupta 39 kadın %57 , 29 erkek %43 şeklindeydi. Histopatolojik tanılara göre en sık rastlanan benign tiroid kitlesi multinodüler guatr n=57, %43.5 , malign tümör ise papiller karsinom n=50, %38.2 idi. Benign tümörlü hastalarda şikayet süresi ortalama 58 ay, malign tümörlü hastalarda 30 ay bulundu.Sonuç: Tiroid ameliyatları kulak burun boğaz hastalıkları kliniğinde artarak uygulanan baş-boyun cerrahisi prosedürlerinden biri haline gelmiştir

Anahtar Kelimeler

Tiroid bezi/patoloji, tiroid neoplazileri/epidemiyoloji/cerrahi, tiroid nodülü/tanı/cerrahi

Kaynakça

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