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Thyroid cancer: The Kuala Lumpur experience
1Department of Surgery, University Hospital, Kuala Lumpur, Malaysia. mabdullah@ummc.edu.my
ANZ Journal of Surgery
|September 25, 2002
Summary
This study analyzed 107 thyroid cancer cases in Malaysia, finding papillary cancer most common. Follicular thyroid cancer (FTC) showed higher incidence in the Malay population, with total thyroidectomy as the primary treatment for well-differentiated thyroid cancer (WDTC).
Area of Science:
- Oncology
- Endocrinology
- Public Health
Background:
- Limited research exists on thyroid cancer (TC) demographics in Malaysia's multiethnic population.
- Understanding TC epidemiology is crucial for targeted healthcare strategies.
Purpose of the Study:
- To audit and analyze thyroid cancer cases in Malaysia.
- To examine demographic distribution, histological variants, presentation, diagnostic accuracy, and treatment modalities.
Main Methods:
- Retrospective audit of 107 histologically proven thyroid cancer cases (1995-2000).
- Analysis of patient demographics, histological types, clinical presentation, fine needle aspiration cytology (FNAC) sensitivity, and treatment outcomes.
Main Results:
- Papillary thyroid cancer (74 cases) was most prevalent, followed by follicular (23 cases).
- Follicular cancer incidence was higher in the Malay population (56%).
- Median age at presentation was 36 (Malay), 37 (Chinese), and 33 (Indian). Preoperative FNAC sensitivity was 72.26%.
Conclusions:
- All histological variants of thyroid cancer are present in Malaysia.
- Well-differentiated thyroid cancer, particularly papillary, constitutes the majority.
- Follicular cancer is more prevalent in Malays; total thyroidectomy is the standard treatment for WDTC.
