THYROID MALIGNANCY

MANAGEMENT UPDATE

Abstract

Objectives: (1). Audit of our one year experience of management of thyroid
carcinoma in accordance with latest approved guidelines. (2) To point-out high risks of malignancy in population with
thyroid diseases. Design: Prospective study. Setting: Surgical Unit-IV of DHQ Hospital Faisalabad with cooperation
of Department of Pathology, Punjab Medical Collage, Faisalabad. Period: From 2000– 2001. Patients & method. All
patients irrespective of age and sex with suspicious of thyroid malignancy were included in this study . Out of total 56
patients of thyroid diseases 13 cases were proved thyroid carcinoma on histopathology. Results: Carcinoma of thyroid
was found more common in females. Papillary carcinoma was found in early age group. Follicular carcinoma was found
in younger age group. All patients with anaplastic carcinoma were above, the age of 50 years. Total thyroidectomy was
found the treatment of choice for the management of carcinoma thyroid. Modified neck dissection was done in selected
cases. We offered lobectomy for one patient with young age with 1.5cm lesion in one lobe. Most patients were placed
on TSH suppression thyroxine therapy. Postoperative follow– up was done for one year. The most important prognostic
factor was age of patient, size, type and extent of tumor. Another important factor was the treatment of the disease
offered to the patient. Conclusions: Screening programme at least in goitrous areas should be done to detect
malignancy at early stage and then early management should be offered in hope of good survival and least morbidity.