Incidence of differentiated XXXX .

@entity1 @entity1377 @entity8170 @entity5 @entity259
OBJECTIVE: The study aims to determine the incidence of @entity259 in surgically treated thyroid nodules and to study its clinical and pathological aspect. The objective was to formulate a uniform departmental policy for the most appropriate surgical management of this potentially curable disease. METHODS: This is a prospective clinicopathological study carried out at the Department of General Surgery, Riyadh Medical Complex, Riyadh, Kingdom of Saudi Arabia, from January 1996 through to December 2000. A total of 483 thyroidectomies were performed. Preoperative diagnosis of @entity259 was based on clinical and fine needle aspiration cytology (FNAC). The @entity1 were identified as low risk and high risk groups for surgical treatment. The histopathological diagnosis of @entity259 was confirmed in 103 @entity1 (21.3%). The medical records of all these @entity1 were reviewed for age, sex, clinical presentation, investigations and outcome of surgery. RESULTS: A total of 103 @entity1 (21.3%) with histopathologically confirmed @entity259 were studied. The female to male ratio was 4:1. The mean age was 36.7 years. Sixty-five percent of @entity1 were between 21-40 years. @entity8170 was the most frequent presentation observed in 78.6% cases. Fine needle aspiration cytology was suggestive of @entity5 in 86.4% cases. Most of the @entity1 (84.5%) were identified as low-risk. @entity1377 was the most common @entity5 (89%) followed by @entity5 (8.7%). Eight percent of @entity1 had cervical lymph node involvement at presentation. Total lobectomy was performed in 50.5% and total thyroidectomy in an additional 29% of @entity1 . Overall operative morbidity was 6.8% with zero mortality. Two (1.9%) @entity1 presented with ipsilateral lymph node recurrence with mean follow up of 26.5 months and underwent limited neck dissection. CONCLUSION: The relatively high incidence of @entity259 in surgically treated nodular is attributed to increased confidence in FNAC and careful @entity1 selection. Total lobectomy with isthmusectomy for low risk and total thyroidectomy for high risk @entity1 may be recommended as the preferred treatment modalities.
