Surgical treatment of microcarcinomas of the thyroid

STURNIOLO G | LO SCHIAVO MG | ALIA CF | TONNANTE A | BONANNO LA

Seance of wednesday 03 march 2004 (pas de sujet Principal)

Abstract

Although their histologic aspects have malignant characters, microcarcinomasof the thyroid (MCT) have some particularities whichborderline benignity. The authors have reviewed a series of 795total thyroidectomies (TT), realised from 1992 to 2002, for evaluationof the incidence and evolutivity of the MCT, and of the adequationof the surgical treatment they underwent. Twenty threepatients of the reported series had a MCT: 19 females and 4 males;mean age was 45 (+/-13, 9) years; the 3.3 years mean duration followup found that 22 controlled patients healed. The authors underlinethe prevalence of the « incident » diagnosis of MCT by postoperativepathologic examination of resected thyroids, speciallythose operated for benign diseases. They recommend the TT asbeing oncologically secure for mending MCT and, in the same time,a treatment of choice of benign thyropathies. They also advise infavor of an associated lymphadenectomy only in the cases withnodes patent invasion.