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Differentiation between benign and malignant thyroid nodules: our ten-year experience.

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  • Can H, Selcuk S, Zalluhoglu N, Bulut Celik S. The distinction between benign and malignant thyroid nodules: Our 10-year experience. Tepecik Egit Hast Derg 2011;21(3):113-8

SUMMARY

Objective: Although most of the moles show features, thyroid cancers, which are the most common endocrine system malignancies, are treated with thyroidectomy. To determine the frequency in the patient group undergoing surgery.

Materials and Methods: 918 patients who were operated on in Tepecik Training and Research Hospital 3rd General Surgery Clinic between January 1998 and December 2008 were included in the study. Files of 748 (81.5%) female and 170 (18.5%) male patients; Age, type of surgery, preoperative diagnosis, postoperative pathology results, wall-capsule invasion, presence of metastasis and survival were evaluated retrospectively.

Results: The majority of patients diagnosed with thyroid gland cancer were women. Men were approximately 4.5 times less likely to develop thyroid cancer than women. Metastases were higher in men than women, and the majority of patients with metastases were women. The rate of malignancy was found to be 6.7% in patients who were operated with the prediagnosis of multinodular goiter, and 7% in patients who were operated on with a prediagnosis of nodular goiter. While the mortality rate was 3.9% in patients diagnosed with malignant thyroid cancer, no death was found in patients diagnosed with benign thyroid cancer.

Conclusion: The aim of preoperative examinations is to differentiate benign and suspicious malignant nodules. This will both prevent unnecessary surgeries and complete the surgery in a single session.

Keywords: Multinodular goiter, nodular goiter, thyroid gland cancer

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