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[Cancer in multinodular goiter]

M R Pelizzo1, A Toniato, A Piotto

  • 1Istituto di Chirurgia Generale I, Università degli Studi di Padova.

Annali Italiani Di Chirurgia
|May 1, 1996
PubMed
Summary
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Multinodular goitre (MNG) is common and usually benign. However, this study found a 7.5% carcinoma incidence in MNG thyroidectomies, emphasizing the need for selective surgery.

Area of Science:

  • Endocrinology
  • Surgical Pathology
  • Oncology

Context:

  • Multinodular goitre (MNG) is a prevalent thyroid condition, often benign.
  • Surgical series report variable, sometimes high, malignancy rates in MNG.
  • Retrospective analysis of 539 thyroidectomies for MNG over 3 years.

Purpose:

  • To determine the incidence of malignancy in patients undergoing thyroidectomy for MNG.
  • To analyze the prevalence of carcinoma by sex and age.
  • To evaluate MNG as a predisposing condition for thyroid cancer.

Summary:

  • Overall carcinoma incidence was 7.5%, predominantly papillary type (90.2%).
  • Malignancy rates were 8.3% in females and 3.6% in males; 11.7% in patients under 21 and 7.5% over 21.

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  • Exclusion of predisposing factors and inclusion of occult carcinomas influenced incidence rates.

    • Impact:

    • MNG is not inherently predisposing to cancer but can harbor malignancy.
    • Selective surgical approaches are recommended for MNG.
    • Highlights the importance of careful patient selection for thyroidectomy in MNG cases.