[Thyroid cancer in the county of North Jutland. Diagnosis, treatment and prognosis].
Data concerning 153 patients diagnosed with thyroid cancer during the 15-year period 1976-90 were retrospectively analyzed. Fine needle aspiration was performed in 98 patients. False negative smears occurred in 16.5% of the aspirates, most frequently in the papillary carcinoma group in which 20.5% of the smears contained cystic material. It is conducted, that smears containing cystic material without follicular epithelial cells should not be considered adequate for diagnosis and should always be repeated. The tumors were histologically re-examined. In 14 cases the histological diagnosis was re-classified. The ENT-department of Aalborg Hospital treated 136 of the patients. Unilateral lobectomy was performed in localised, unilateral cases of papillary carcinoma and as a main rule, total thyreoidectomy in all other cases of differentiated carcinoma and in all cases of medullary carcinoma. There were few postoperative complications. Unilateral recurrent nerve paralysis occurred in two percent of the patients. The prognosis of differentiated and medullary carcinoma was good and in accordance with other studies in which total thyreoidectomy has been performed in all cases. The pTNM classification did not correlate well with the actuarial survival.
Tveterås
K
K
Aalborg Sygehus, øre-, naese- og halsafdelingen, patologisk institut og radiumstationen.
Paulsen
S M
SM
Greisen
O
O
Johansen
J
J
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D003718:Denmark / Q000453:epidemiology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D012042:Registries; D012189:Retrospective Studies; D013964:Thyroid Neoplasms / Q000453:epidemiology* / Q000473:pathology / Q000601:surgery
Cancer thyreoideae i Nordjyllands Amt. Diagnostik, behandling og prognose.