Gutiérrez-Hermosillo Hugo, Tamez-Peréz Héctor Eloy, Díaz de León-Gonzaléz Enrique, Gutiérrez-Hermosillo Violeta, Avila-Sanchéz Jair
Departamento de Medicina Interna, Hospital Regional de Especialidades 25, Instituto Mexicano del Seguro Social, Monterrey, Nuevo León, México.
Rev Med Inst Mex Seguro Soc. 2013 Mar-Apr;51(2):188-91.
the prevalence of thyroid follicular carcinoma (TFC) is 39 % in patients with an undetermined histological diagnosis. The aim was to know the prevalence of TFC in a hospital with high population concentration.
surgical reports with a final diagnosis of TFC were reviewed. The size of the tumor, age, gender, pre- and post-surgical diagnosis and comorbidities were retrieved.
a total of 35 reports with a diagnosis of TFC were found: 30 (85 %) were females with a mean age 44 ± 16.9 years. The mean age was 57 ± 6.6 in males. The diagnoses before surgery were follicular carcinoma 14 (40 %), thyroid cancer 6 (17.1 %), thyroid adenoma 4 (11.4 %), goiter 3 (8.5 %), thyroid nodule 3 (8.5 %), one papillary carcinoma (2.8 %), one thyroid neoplasm (2.8 %), one poorly differentiated adenocarcinoma (2.8 %), one well differentiated follicular adenocarcinoma (2.8 %), and one medullary thyroid cancer (2.8 %). The comorbidities found were Hashimoto disease 2 (5.6 %) and papillary contralateral carcinoma 2 patients (5.6 %).
follicular carcinomas of the thyroid of our population differ in clinical presentation compared with previous reports.
在组织学诊断未明确的患者中,甲状腺滤泡癌(TFC)的患病率为39%。目的是了解在人口密集的医院中TFC的患病率。
回顾了最终诊断为TFC的手术报告。收集肿瘤大小、年龄、性别、手术前后诊断及合并症等信息。
共发现35份诊断为TFC的报告:30例(85%)为女性,平均年龄44±16.9岁。男性平均年龄为57±6.6岁。术前诊断为滤泡癌14例(40%)、甲状腺癌6例(17.1%)、甲状腺腺瘤4例(11.4%)、甲状腺肿3例(8.5%)、甲状腺结节3例(8.5%)、乳头状癌1例(2.8%)、甲状腺肿瘤1例(2.8%)、低分化腺癌1例(2.8%)、高分化滤泡性腺癌1例(2.8%)、甲状腺髓样癌1例(2.8%)。发现的合并症为桥本氏病2例(5.6%)和对侧乳头状癌2例(5.6%)。
我们人群中的甲状腺滤泡癌与既往报告相比,临床表现有所不同。