[Thyroid carcinoma, ten-years file].

Area of Science:

• Endocrinology
• Oncology
• Surgical Pathology

Background:

• The incidence of thyroid carcinoma, particularly early-stage disease, is increasing despite its generally good prognosis.
• Early detection and intervention are crucial for managing thyroid cancer effectively.

Purpose of the Study:

• To analyze the incidence and characteristics of thyroid carcinoma diagnosed during surgeries for thyreopathy.
• To evaluate the detection methods and outcomes of thyroid carcinoma treatment.

Main Methods:

• Retrospective analysis of surgical records for thyroid carcinoma from 2006 to 2015.
• Inclusion of 1820 patients operated for thyreopathy, with a focus on those diagnosed with thyroid carcinoma.

Main Results:

• Thyroid carcinoma was found in 8% (145/1820) of patients, with microcarcinoma (<10mm) in 44.1% of these cases.
• The majority of carcinomas (48.3%) were detected incidentally during total thyroidectomy; 24.1% were suspected preoperatively.
• Papillary carcinoma was the most common type (78.6%), followed by follicular (11.0%) and medullary (6.9%). Complications included recurrent laryngeal nerve lesions in 3.5% of cases.

Conclusions:

• Thyroid carcinoma is frequently diagnosed incidentally in early stages during thyroid surgery.
• This finding underscores the high quality of endocrinology care and the benefits of early surgical treatment for thyroid conditions.