title: [Trends in thyroid surgery at the Instituto Nacional de la Nutrición Salvador Zubirán].
abstract: The diagnosis and treatment of thyroid disease has significantly changed with time. With the aim of analysing changes in thyroid surgery in our institution, a representative sample of patients from the first three years in four decades (1960-1992) were comparatively analysed. In the sixties, the diagnosis of thyroid cancer was made during surgery; by contrast, this diagnosis was correctly done by fine needle aspiration (FNA) in most patients of the last decade. Thyroid lobectomy, infrequently used in the treatment of differentiated thyroid carcinoma in earlier times, has now been abandoned and currently most patients undergo total or near-total thyroidectomy. Complications such as hypoparathyroidism and recurrent laryngeal nerve paralysis have importantly decreased with time and were not seen in the last decade. A trend toward an earlier diagnosis of thyroid carcinoma was also observed. In summary, the number of thyroidectomies for benign diseases has been importantly reduced by the use of FNA with the proportional increment of surgery for malignant disease.
authors.affiliation: Departamento de Cirugía, Instituto Nacional de la Nutrición Salvador Zubirán, México, D.F.
authors.forename: M F
authors.initials: MF
authors.lastname: Herrera
authors.forename: C M
authors.initials: CM
authors.lastname: López
authors.forename: J
authors.initials: J
authors.lastname: Saldaña
authors.forename: B
authors.initials: B
authors.lastname: Pérez
authors.forename: R
authors.initials: R
authors.lastname: Rivera
authors.forename: O
authors.initials: O
authors.lastname: González
authors.forename: A
authors.initials: A
authors.lastname: Angeles
authors.forename: V
authors.initials: V
authors.lastname: Letayf
mesh_terms: D000236:Adenoma / Q000175:diagnosis / Q000453:epidemiology / Q000473:pathology / Q000601:surgery; D001707:Biopsy, Needle; D002277:Carcinoma / Q000175:diagnosis / Q000453:epidemiology / Q000473:pathology / Q000601:surgery; D006801:Humans; D008207:Lymphatic Metastasis; D008800:Mexico / Q000453:epidemiology; D037981:Neck Dissection / Q000706:statistics & numerical data; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology; D013959:Thyroid Diseases / Q000175:diagnosis / Q000601:surgery*; D013964:Thyroid Neoplasms / Q000175:diagnosis / Q000453:epidemiology / Q000473:pathology / Q000601:surgery; D013965:Thyroidectomy / Q000706:statistics & numerical data / Q000639:trends*
vernacular_title: Evolución de la cirugía de tiroides en el Instituto Nacional de la Nutrición Salvador Zubirán.