Clinical management and outcomes of papillary, follicular and medullary thyroid cancer  surgery.
The clinical characteristics, pathological subtypes and patients' survival in 40 patients with thyroid carcinoma between March 2007 and March 2012 were evaluated. This study included 33 (82.5 %) females and seven (17.5%) males (female to male ratio of 4.7:1). The median age of patients was 47.5 (range; 24-64). Papillary carcinoma was the commonest pathological subtype (23 patients, 57.5%), followed by follicular carcinoma (14 patients, 35%) and medullary carcinoma (3 cases, 7.5%). Total thryoidectomy was performed in 30 (75%), lobectomy in six (15%), subtotal and multifocal thryoidectomy in two (5%) patients. The median time of follow up was 3 years with range of 1-5 years. After ive years 34 (85%) patients were alive and six (15%) were dead. The overall 5-year actuarial survival was 85%, for papillary carcinoma 91.3%, for follicular carcinoma 85.7% and for medullary carcinoma it was 33.3%. The results suggest that total thryoidectomy had better outcome in comparison with other surgeries.
1Department of General Surgery, 2Student Research Commit- tee; School of  Medicine, Mazandaran University of Medical Sciences, Sari, Iran.
Nasrin
N
Rahmani
Seyyed
S
Abbas Hashemi
Mehran
M
Fazli
Mohammad
M
Raisian
D018263:Adenocarcinoma, Follicular / Q000175:diagnosis / Q000453:epidemiology / Q000601:surgery*; D000328:Adult; D018278:Carcinoma, Neuroendocrine / Q000601:surgery; D018265:Carcinoma, Papillary, Follicular / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015994:Incidence; D007492:Iran / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012307:Risk Factors; D017678:Sex Distribution; D013964:Thyroid Neoplasms / Q000175:diagnosis / Q000453:epidemiology / Q000601:surgery*; D013965:Thyroidectomy / Q000379:methods; D016896:Treatment Outcome