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| Papillary Carcinoma Of The Thyroid |
Afellah M, Bamine H, Arioua A, Oudidi A, Elalami MN
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Abstract:
The objective of our study was to study the different diagnostic and therapeutic aspects of papillary thyroid cancers. To this end, we have collected and processed the data 80 cases with papillary carcinoma. Papillary cancer is the most common histological type, accounting for 85% of thyroid cancers. The age of the patients at the time of diagnosis varies between 22 and 74 years with an average age of 40.5 years. The female predominance is obvious; our series consists of 68 women and 12 men with a sex-ratio F/H= 5.6. The most common clinical manifestation is the thyroid nodule. Lymph node extension is noted in 14 patients or 17.5%. The extemporaneous examination was performed in 12 patients returning positive in all 08 cases. Cervical ultrasound was performed in all patients with TIRADS score study, with a predominance of TIRADS 4 nodules representing 23% of cases, compared to 11% TIRADS 5, 9% TIRADS 3. The cervical scan was performed in 20 patients (10%), the Scintigraphy was performed in two patients, and thyroid fine needle aspiration was performed in 30 patients. On the therapeutic level, we performed 26 total thyroidectomies (35.5% of cases), including 4 accompanied by lymph node dissection. 30 isthmolobectomies (37.5% of cases), and 18 totalisation (22.5% of cases) after final histological examination. Iratherapy was prescribed to patients who have had a total thyroidectomy. Hormonal therapy for Frenatrice was prescribed after total thyroidectomy. Post-operative follow-up was simple in the majority of cases, apart from one: Hypocalcemia found in 12 patients placed on calcium supplementation. 04 cases of bilateral recurrent paralysis and 14 cases of lymph node recurrence and 02 cases of recurrence at the level of the thyroid compartment requiring surgical revision.
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