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[Thyroid microcarcinoma in benign thyroid diseases].

Mario Costanzo1, Laura Antonella Maria Caruso, Davide Carmelo Messina

  • 1Università degli Studi di Catania, P.O.U. "San Luigi e San Currò" Catania, Cattedra e Servizio Clinicizzato di Endocrinochirurgia. pe.costanzo@tiscali.it

Annali Italiani Di Chirurgia
|November 24, 2005
PubMed
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Thyroid microcarcinoma (MCT) is often found incidentally and typically has a good prognosis. Total thyroidectomy is considered an effective oncological treatment for this slow-growing tumor.

Area of Science:

  • Endocrinology
  • Oncology
  • Surgical Pathology

Context:

  • Thyroid microcarcinoma (MCT) is a small (≤1 cm) malignant thyroid tumor, frequently discovered as an incidental finding.
  • MCTs often exhibit multifocal characteristics and can present with varying degrees of aggressiveness.

Purpose:

  • To evaluate the incidence of MCT in patients undergoing surgery for benign thyroid diseases.
  • To assess the benefits of total thyroidectomy for benign conditions when MCT is incidentally found.
  • To determine the oncological appropriateness of total thyroidectomy for treating MCT.

Summary:

  • A study of 600 patients who underwent total thyroidectomy for benign thyroid disease between 1999 and 2003 identified incidentally discovered MCTs.
  • All patients remained disease-free post-surgery, indicating a favorable outcome.

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  • MCT is characterized by slow growth, a generally good prognosis, and high disease-free survival rates.

    • Impact:

    • Highlights the high prevalence of incidentally discovered MCTs in patients treated for benign thyroid conditions.
    • Supports total thyroidectomy as a safe and effective oncological treatment for incidentally discovered MCTs.
    • Emphasizes the importance of histological examination of thyroid tissue after surgery for benign diseases.