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Post a Comment Papillary thyroid microcarcinoma: impossible to operate observe – where to put a comma?
- Authors: Afanasyeva Z.A.1, Vasilevskaya S.M.1, Druzhkova N.B.1,2, Сhernyshov V.A.2, Saveliev V.V.2, Khamzina F.T.1, Muzafarova F.K.2, Gazizov R.R.2, Sabirov A.G.2
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Affiliations:
- Kazan State Medical Academy
- Republican Clinical Oncological Dispensary named after Professor M.Z. Sigal
- Issue: Vol 40, No 5 (2023)
- Pages: 21-29
- Section: Original studies
- URL: https://journals.rcsi.science/PMJ/article/view/254803
- DOI: https://doi.org/10.17816/pmj40521-29
- ID: 254803
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Abstract
Objective. To evaluate the efficiency of diagnostics and treatment in patients with microcarcinomas of the thyroid gland at the State Medical Institution "RCOD of the Ministry of Health of the Republic of Tatarstan named after Professor. M.Z. Sigal" for 2020-22.
Materials and methods. MIS "BARS. Healthcare – MIS" of oncological dispensary, outpatient charts and medical histories of patients operated on for thyroid microcarcinomas were used.
Results. In the study group, all patients had papillary microcarcinoma. Women over 45 years of age prevailed. Women of fertile age accounted for 41.7%. The combination of microcarcinoma with thyroid adenomas, colloidal goiter and AIT was detected in 78.6% of patients. The organ capsule invasion occurred in 35.7% of patients, metastases to regional lymph nodes – in 19%. Thyroidectomy was performed in 66.7% of patients; 12 (28.6%) patients underwent I-131 therapy.
Conclusions. Due to the fact that papillary microcarcinoma of the thyroid gland is often found in women of fertile age, and develops against the background of another thyroid pathology complicating diagnostics, it sprouts an organ capsule in 35.7% and gives metastases to regional lymph nodes in 19%, therefore requires a timely diagnostics and radical treatment.
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##article.viewOnOriginalSite##About the authors
Z. A. Afanasyeva
Kazan State Medical Academy
Author for correspondence.
Email: z-afanasieva@mail.ru
MD, PhD, Professor, Professor of the Department of Oncology, Radiology and Palliative Medicine
Russian Federation, KazanS. M. Vasilevskaya
Kazan State Medical Academy
Email: z-afanasieva@mail.ru
resident, Department of Oncology, Radiology and Palliative Medicine
Russian Federation, KazanN. B. Druzhkova
Kazan State Medical Academy; Republican Clinical Oncological Dispensary named after Professor M.Z. Sigal
Email: z-afanasieva@mail.ru
resident, Department of Oncology, Radiology and Palliative Medicine
Russian Federation, Kazan; KazanV. A. Сhernyshov
Republican Clinical Oncological Dispensary named after Professor M.Z. Sigal
Email: z-afanasieva@mail.ru
Candidate of Medical Sciences, cancer surgeon, Unit №5
Russian Federation, KazanV. V. Saveliev
Republican Clinical Oncological Dispensary named after Professor M.Z. Sigal
Email: z-afanasieva@mail.ru
Candidate of Medical Sciences, Head of the Unit № 12
Russian Federation, KazanF. T. Khamzina
Kazan State Medical Academy
Email: z-afanasieva@mail.ru
Candidate of Medical Sciences, Associate Professor, Department of Ultrasonic Diagnostics
Russian Federation, KazanF. K. Muzafarova
Republican Clinical Oncological Dispensary named after Professor M.Z. Sigal
Email: z-afanasieva@mail.ru
Physician of Ultrasonic Diagnostics
Russian Federation, KazanR. R. Gazizov
Republican Clinical Oncological Dispensary named after Professor M.Z. Sigal
Email: z-afanasieva@mail.ru
cytologist, Cytologic Laboratory
Russian Federation, KazanA. G. Sabirov
Republican Clinical Oncological Dispensary named after Professor M.Z. Sigal
Email: z-afanasieva@mail.ru
Candidate of Medical Sciences, Head of the Unit of Morbid Anatomy
Russian Federation, KazanReferences
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