[Thyroid papillary microcarcinoma. Salah Azaiz Institute experience].
The incidence of thyroid papillary microcarcinoma appears to be increasing and therapeutic modalities remain controversial. This retrospective study concerns 25 cases, from 1978 to 1999. The circumstances of diagnosis were: a cervicotomy for thyroid nodule (88% of cases), cervical node metastases (8%), and osseous metastases (4%). The sensitivity of ultrasounds was 22.2%, that of scintigraphy was 9.1% and that of extemporaneous histological examination was 18.2%. Multifocality was found in 16% of cases and bilaterality in 16.6%. Treatment modalities were guided by histological examination. Adjunctive radioiodine ablation was used for 20% of the patients. The treatment of the osseous metastases was completed with external irradiation. The average follow up was 4.8 years (4 months to 19 years), with a rate of survival without disease of 100%.
Institut Salah Azaiz, Service de Chirurgie Carcinologiue Maxillo-Faciale et Oto-Rhino-Laryngologique, Tunis, Tunisie.
Z
Z
Oueslati
M
M
Aloui
S
S
Gritli
S
S
Touati
A
A
el-May
A
A
Gamoudi
F
F
Ben-Slimene
A
A
Ladgham
D000293:Adolescent; D000328:Adult; D000368:Aged; D001859:Bone Neoplasms / Q000532:radiotherapy / Q000556:secondary; D002291:Carcinoma, Papillary / Q000175:diagnosis / Q000473:pathology / Q000532:radiotherapy; D002648:Child; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D015994:Incidence; D007457:Iodine Radioisotopes / Q000627:therapeutic use; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D016019:Survival Analysis; D013964:Thyroid Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000532:radiotherapy; D014416:Tunisia / Q000453:epidemiology
D007457:Iodine Radioisotopes