A shift to more targeted thyroidectomies increased the detection of thyroid cancer and in particular low-risk papillary tumors in Southwestern Greece the decade 2007 to 2016

Laryngoscope Investigative Otolaryngology

article

Georgios K. Markantes¹  Stylianos Tsochatzis²  Konstantinos Panagopoulos²  Maria Melachrinou³  Venetsana E. Kyriazopoulou¹  Kostas B. Markou¹  Marina A. Michalaki¹ 

[1] Division of Endocrinology, Department of Internal Medicine, University of Patras School of Health Sciences;Department of General Surgery, University of Patras School of Health Sciences;Department of Pathology, University of Patras School of Health Sciences

关键词: FNA;    Greece;    incidence;    papillary microcarcinoma;    thyroid cancer;   

DOI  :  10.1002/lio2.504

学科分类：环境科学（综合）

来源: Wiley

【 摘 要 】

Objectives: Data regarding thyroid cancer (TC) epidemiology in Greece in the last decade are scarce, so we investigated the trends in TC detection during 2007 to 2016. Methods: We retrospectively studied 2040 pathology reports of total thyroidectomies performed at our institution from 2007 to 2016. Results: A number of 478 cases of TC were identified in the studied decade. The overall incidence of TC among thyroidectomies rose over the years. The proportion of papillary T1 tumors among thyroidectomies increased in the second period of our study (2012-2016), while that of papillary T2 to T4 tumors and other TC subtypes remained unchanged. Papillary T1 tumors represented 63.6% of all TC cases and 75.3% of them were low-risk microcarcinomas (papillary thyroid microcarcinoma). The strategy of fine needle aspiration (FNA) prior to surgery in the management of thyroid nodules was adopted by more clinical endocrinologists in the area of Southwestern (SW) Greece in the second period of our study (2012-2016:29.7% vs 2007-2011:18.4%, P < .001). Consequently, the indication for thyroidectomy was set by FNA more frequently in 2012 to 2016 than in 2007 to 2011 (42.5% vs 26.4% of cases, P < .001). Conclusions: The wider use of FNA in the triage of thyroid nodules led to increased rates of TC in thyroidectomies performed in SW Greece during the decade 2007 to 2016; low-risk, small papillary tumors represented the majority of TC cases.

【 授权许可】

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