Cáncer medular de tiroides: Experiencia quirúrgica en 10 años

Background: Medullary thyroid cancer (MTC) represents approximately 5% of all thyroid cancers. Surgery is the only curative treatment, which includes total thyroidectomy and in most cases, neck dissection. Aim: To report our 10-year experience with surgical treatment of MTC. Material and Methods: Re...

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Autores principales: Pulgar B,Dahiana, Jans B,Jaime, Petric G,Militza, León R,Augusto, Camus A,Mauricio, Goñi E,Ignacio, Domínguez C,Francisco, Droppelmann M,Nicolás, Claure S,Raúl, González D,Hernán
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2013
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872013001100005
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spelling oai:scielo:S0034-988720130011000052014-09-01Cáncer medular de tiroides: Experiencia quirúrgica en 10 añosPulgar B,DahianaJans B,JaimePetric G,MilitzaLeón R,AugustoCamus A,MauricioGoñi E,IgnacioDomínguez C,FranciscoDroppelmann M,NicolásClaure S,RaúlGonzález D,Hernán Lymph node excision Neck dissection Thyroid neoplasms Background: Medullary thyroid cancer (MTC) represents approximately 5% of all thyroid cancers. Surgery is the only curative treatment, which includes total thyroidectomy and in most cases, neck dissection. Aim: To report our 10-year experience with surgical treatment of MTC. Material and Methods: Review of medical records and pathology reports of a university hospital. We retrieved data from 28 patients aged 47.2 ± 16 years (21 women) operated for a MTC treated between June 2002 and June 2012. Results: In 20 patients, MTC was diagnosed in the preoperative period. Total thyroidectomy was performed in all cases and included a neck dissection in 24 patients. Median follow-up was 48 (2-120) months. Twenty-five patients (89.2%) achieved complete remission of the disease and three had disease recurrence. There were no deaths during the follow up. Conclusions: The diagnosis of MTC is mainly based on cytology. Total thyroidectomy with neck dissection is the treatment of choice. An early-stage diagnosis is associated with low rates of recurrence and absence of mortality.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.141 n.11 20132013-11-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872013001100005es10.4067/S0034-98872013001100005
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Lymph node excision
Neck dissection
Thyroid neoplasms
spellingShingle Lymph node excision
Neck dissection
Thyroid neoplasms
Pulgar B,Dahiana
Jans B,Jaime
Petric G,Militza
León R,Augusto
Camus A,Mauricio
Goñi E,Ignacio
Domínguez C,Francisco
Droppelmann M,Nicolás
Claure S,Raúl
González D,Hernán
Cáncer medular de tiroides: Experiencia quirúrgica en 10 años
description Background: Medullary thyroid cancer (MTC) represents approximately 5% of all thyroid cancers. Surgery is the only curative treatment, which includes total thyroidectomy and in most cases, neck dissection. Aim: To report our 10-year experience with surgical treatment of MTC. Material and Methods: Review of medical records and pathology reports of a university hospital. We retrieved data from 28 patients aged 47.2 ± 16 years (21 women) operated for a MTC treated between June 2002 and June 2012. Results: In 20 patients, MTC was diagnosed in the preoperative period. Total thyroidectomy was performed in all cases and included a neck dissection in 24 patients. Median follow-up was 48 (2-120) months. Twenty-five patients (89.2%) achieved complete remission of the disease and three had disease recurrence. There were no deaths during the follow up. Conclusions: The diagnosis of MTC is mainly based on cytology. Total thyroidectomy with neck dissection is the treatment of choice. An early-stage diagnosis is associated with low rates of recurrence and absence of mortality.
author Pulgar B,Dahiana
Jans B,Jaime
Petric G,Militza
León R,Augusto
Camus A,Mauricio
Goñi E,Ignacio
Domínguez C,Francisco
Droppelmann M,Nicolás
Claure S,Raúl
González D,Hernán
author_facet Pulgar B,Dahiana
Jans B,Jaime
Petric G,Militza
León R,Augusto
Camus A,Mauricio
Goñi E,Ignacio
Domínguez C,Francisco
Droppelmann M,Nicolás
Claure S,Raúl
González D,Hernán
author_sort Pulgar B,Dahiana
title Cáncer medular de tiroides: Experiencia quirúrgica en 10 años
title_short Cáncer medular de tiroides: Experiencia quirúrgica en 10 años
title_full Cáncer medular de tiroides: Experiencia quirúrgica en 10 años
title_fullStr Cáncer medular de tiroides: Experiencia quirúrgica en 10 años
title_full_unstemmed Cáncer medular de tiroides: Experiencia quirúrgica en 10 años
title_sort cáncer medular de tiroides: experiencia quirúrgica en 10 años
publisher Sociedad Médica de Santiago
publishDate 2013
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872013001100005
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