Occult Thyroid Carcinoma: A Tertiary Hospital Experience in Ibadan, Nigeria

Introduction: There is a dearth of knowledge on the proportion that occult thyroid carcinoma constitutes amongst patients with thyroid cancer in our practice. This study was therefore conducted to review the cases of occult thyroid carcinoma with a focus on the presentation, management, and the outc...

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Autores principales:	Adefemi Oladiran Afolabi, Bamidele Johnson Alegbeleye, Naomi Olagunju
Formato:	article
Lenguaje:	EN
Publicado:	Emergency Department of Hospital San Pedro (Logroño, Spain) 2021
Materias:	occult thyroid carcinoma papillary carcinoma thyroidectomy Medicine (General) R5-920
Acceso en línea:	https://doi.org/10.5281/zenodo.4771174 https://doaj.org/article/76e9db812876406bbf00ccac31e3ab93
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spelling	oai:doaj.org-article:76e9db812876406bbf00ccac31e3ab932021-12-02T19:19:53ZOccult Thyroid Carcinoma: A Tertiary Hospital Experience in Ibadan, Nigeriahttps://doi.org/10.5281/zenodo.47711742695-5075https://doaj.org/article/76e9db812876406bbf00ccac31e3ab932021-05-01T00:00:00Zhttps://doi.org/10.5281/zenodo.4771174https://doaj.org/toc/2695-5075Introduction: There is a dearth of knowledge on the proportion that occult thyroid carcinoma constitutes amongst patients with thyroid cancer in our practice. This study was therefore conducted to review the cases of occult thyroid carcinoma with a focus on the presentation, management, and the outcome of care in a low resource tertiary hospital setting. Materials and Methods: We conducted a retrospective cross-sectional descriptive study of 62 patients who were managed for thyroid cancer over a 15-year-period at the University College Hospital, Ibadan, Nigeria. The patients who had more than two follow-up visits to the Thyroid Clinic, over the preceding fifteen years were included in this study. The types of surgeries performed on the patients were noted. The data were analyzed using descriptive statistics. We also identified the various limitations that might have hindered the effective care of such patients. Results: Sixty-two consecutive patients, 12 male (19.4%) and 50 females (80.6%) with a median interquartile age range of 45 years, were diagnosed with thyroid cancer. The surgeries performed on the patients were total thyroidectomy, 48 (77.4%), completion-thyroidectomy, 14 (22.6%), near total thyroidectomy, etc. Occult thyroid cancer constituted 38 (61.3%) of the patients managed for thyroid cancer. The most common histology subtype was papillary carcinoma. We identified late presentation, inadequate oncologic surgery, financial constraint etc., as limitations of optimal care. Conclusions: In view of the proportion of occult thyroid cancer in this cohort of patients, the clinically benign goitres might contain carcinoma or micro-carcinoma. Therefore, an aggressive public health campaign to encourage early presentation of our patients and primary reduction through total thyroidectomy is recommended to improve the outcome of care.Adefemi Oladiran AfolabiBamidele Johnson AlegbeleyeNaomi OlagunjuEmergency Department of Hospital San Pedro (Logroño, Spain)articleoccult thyroid carcinomapapillary carcinomathyroidectomyMedicine (General)R5-920ENIberoamerican Journal of Medicine, Vol 3, Iss 3, Pp 212-220 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	occult thyroid carcinoma papillary carcinoma thyroidectomy Medicine (General) R5-920
spellingShingle	occult thyroid carcinoma papillary carcinoma thyroidectomy Medicine (General) R5-920 Adefemi Oladiran Afolabi Bamidele Johnson Alegbeleye Naomi Olagunju Occult Thyroid Carcinoma: A Tertiary Hospital Experience in Ibadan, Nigeria
description	Introduction: There is a dearth of knowledge on the proportion that occult thyroid carcinoma constitutes amongst patients with thyroid cancer in our practice. This study was therefore conducted to review the cases of occult thyroid carcinoma with a focus on the presentation, management, and the outcome of care in a low resource tertiary hospital setting. Materials and Methods: We conducted a retrospective cross-sectional descriptive study of 62 patients who were managed for thyroid cancer over a 15-year-period at the University College Hospital, Ibadan, Nigeria. The patients who had more than two follow-up visits to the Thyroid Clinic, over the preceding fifteen years were included in this study. The types of surgeries performed on the patients were noted. The data were analyzed using descriptive statistics. We also identified the various limitations that might have hindered the effective care of such patients. Results: Sixty-two consecutive patients, 12 male (19.4%) and 50 females (80.6%) with a median interquartile age range of 45 years, were diagnosed with thyroid cancer. The surgeries performed on the patients were total thyroidectomy, 48 (77.4%), completion-thyroidectomy, 14 (22.6%), near total thyroidectomy, etc. Occult thyroid cancer constituted 38 (61.3%) of the patients managed for thyroid cancer. The most common histology subtype was papillary carcinoma. We identified late presentation, inadequate oncologic surgery, financial constraint etc., as limitations of optimal care. Conclusions: In view of the proportion of occult thyroid cancer in this cohort of patients, the clinically benign goitres might contain carcinoma or micro-carcinoma. Therefore, an aggressive public health campaign to encourage early presentation of our patients and primary reduction through total thyroidectomy is recommended to improve the outcome of care.
format	article
author	Adefemi Oladiran Afolabi Bamidele Johnson Alegbeleye Naomi Olagunju
author_facet	Adefemi Oladiran Afolabi Bamidele Johnson Alegbeleye Naomi Olagunju
author_sort	Adefemi Oladiran Afolabi
title	Occult Thyroid Carcinoma: A Tertiary Hospital Experience in Ibadan, Nigeria
title_short	Occult Thyroid Carcinoma: A Tertiary Hospital Experience in Ibadan, Nigeria
title_full	Occult Thyroid Carcinoma: A Tertiary Hospital Experience in Ibadan, Nigeria
title_fullStr	Occult Thyroid Carcinoma: A Tertiary Hospital Experience in Ibadan, Nigeria
title_full_unstemmed	Occult Thyroid Carcinoma: A Tertiary Hospital Experience in Ibadan, Nigeria
title_sort	occult thyroid carcinoma: a tertiary hospital experience in ibadan, nigeria
publisher	Emergency Department of Hospital San Pedro (Logroño, Spain)
publishDate	2021
url	https://doi.org/10.5281/zenodo.4771174 https://doaj.org/article/76e9db812876406bbf00ccac31e3ab93
work_keys_str_mv	AT adefemioladiranafolabi occultthyroidcarcinomaatertiaryhospitalexperienceinibadannigeria AT bamidelejohnsonalegbeleye occultthyroidcarcinomaatertiaryhospitalexperienceinibadannigeria AT naomiolagunju occultthyroidcarcinomaatertiaryhospitalexperienceinibadannigeria
_version_	1718376858845708288

Occult Thyroid Carcinoma: A Tertiary Hospital Experience in Ibadan, Nigeria

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