Issue N# 1 - 2002
CERVICO-FACIAL SURGERY
Thyroid papillary microcarcinoma. Experience of the Salah Azaiz Institute.
Authors : Z. Oueslati, M. Aloui, S. Gritli, S. Touati, A. El-May, A. Gamoudi, F. Ben-Slimene, A. Ladgham (Tunis)
Ref. : Rev Laryngol Otol Rhinol. 2002;123,1:39-42.
Article published in french 
Downloadable PDF document french
Summary :
The incidence of thyroid papillary microcarcinoma appears to be increasing and therapeutic modalities remain controversial. This retrospective study concerns 25 cases, from 1978 to 1999. The circumstances of diagnosis were: a cervicotomy for thyroid nodule (88% of cases), cervical node metastases (8%), and osseous metastases (4%). The sensitivity of ultrasounds was 22.2%, that of scintigraphy was 9.1% and that of extemporaneous histological examination was 18.2%. Multifocality was found in 16% of cases and bilaterality in 16.6%. Treatment modalities were guided by histological examination. Adjunctive radioiodine ablation was used for 20% of the patients. The treatment of the osseous metastases was completed with external irradiation. The average follow up was 4.8 years (4 months to 19 years), with a rate of survival without disease of 100% .
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