Cáncer medular de tiroides: Experiencia quirúrgica en 10 años

• Dahiana Pulgar B ^[1] ; Jaime Jans B ^[1] ; Militza Petric G ^[1] ; Augusto León R ^[1] ; Mauricio Camus A ^[1] ; Ignacio Goñi E ^[1] ; Francisco Domínguez C ^[1] ; Nicolás Droppelmann M ^[1] ; Raúl Claure S ^[1] ; Hernán González D ^[1]
  1. [1] Pontificia Universidad Católica de Chile

     Pontificia Universidad Católica de Chile

     Santiago, Chile

     
• Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 141, Nº. 11, 2013, págs. 1400-1401
• Idioma: español
• Títulos paralelos:
  • Medullary thyroid cancer: Review of 28 patients
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• Resumen

  • Background: Medullary thyroid cancer (MTC) represents approximately 5% of all thyroid cancers. Surgery is the only curative treatment, which includes total thyroidectomy and in most cases, neck dissection. Aim: To report our 10-year experience with surgical treatment of MTC. Material and Methods: Review of medical records and pathology reports of a university hospital. We retrieved data from 28 patients aged 47.2 ± 16 years (21 women) operated for a MTC treated between June 2002 and June 2012. Results: In 20 patients, MTC was diagnosed in the preoperative period. Total thyroidectomy was performed in all cases and included a neck dissection in 24 patients. Median follow-up was 48 (2-120) months. Twenty-five patients (89.2%) achieved complete remission of the disease and three had disease recurrence. There were no deaths during the follow up. Conclusions: The diagnosis of MTC is mainly based on cytology. Total thyroidectomy with neck dissection is the treatment of choice. An early-stage diagnosis is associated with low rates of recurrence and absence of mortality.