Surgical management of thyroid tumors in the Teaching General Hospital "Dr. Agostinho Neto", Guantánamo 2016-2018

Authors

Keywords:

thyroid tumors, thyroid nodule, thyroid surgery

Abstract

Introduction: Guantanamo does not specify the surgical treatment of patients with thyroid tumors.

Objective: to specify the surgical treatment of patients with thyroid nodules in the General Surgery Department of the General Teaching Hospital "Dr. Agostinho Neto "during the period 2016-2018.

Method: a descriptive, prospective and longitudinal study was made. The results of the paraffin biopsy, TIRADS classification (ThyroidImaging Reporting and Data System), surgical techniques and postoperative complications were studied.

Results: thyroid carcinoma was more frequent (52.8%). 29.1% of the patients were grouped in the TIRADS II category. In the TIRADS III category, multinodular goiter was more common (n=6); in TIRADS IV, the carcinoma (n=4); all patients in categories V and VI presented carcinomas. The most used technique was hemithyroidectomy with itsmectomy (47.2%). Complications were recorded in 7 patients and the most common was transient recurrent paralysis.

Conclusions: Thyroid carcinoma was more frequent. The usefulness of the TIRADS classification for the management of these patients is revealed. It was under the registry of complications.

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Author Biographies

Ernesto Ramírez Núñez, Teaching General Hospital “Dr. Agostinho Neto” in Guantánamo.

1st degree Specialist in General Surgery.

Rafael Ángel Moró Vela, Teaching General Hospital “Dr. Agostinho Neto” in Guantánamo.

1st degree Specialist in General Surgery.

Yoendris Llime Matos, Teaching General Hospital “Dr. Agostinho Neto” in Guantánamo.

1st degree Specialist in General Surgery.

Yondris Reyes Domínguez, Teaching General Hospital “Dr. Agostinho Neto” in Guantánamo.

1st degree Specialist in General Surgery.

References

1. Kim EK, Park CS, Chung WY, Oh KK, Kim DI, Lee JT, et al. New sonographic criteria for recommending fine needle aspiration biopsy of non palpable solid nodules of the thyroid. Am J Roentgenol [en línea]. 2018 [citado 14 Feb 2019]; 178:687-91. Disponible en: https://www.ajronline.org/doi/abs/10.2214/ajr.178.3.1780687

2. Angelica S, Graciela C, Pitoia F. Metástasis a distancia en cáncerdiferenciado de tiroides: diagnóstico y tratamiento. Rev Argent Endocrinol Met [en línea]. 2017 [citado 20 Feb 2019]; 54(2): 92-100. DOI: http://dx.doi.org/10.1016/j.raem.2017.05.001

3. Lezcano Bonzi MJ, Adorno A. Frecuencia de patología tiroidea maligna en pacientes tiroidectomizados con diagnóstico de bocio multinodular. Rev Cir Parag [en línea]. 2018 [citado 14 Feb 2019]; 42(1):35-45. DOI: http://dx.doi.org/10.18004/sopaci.2018.abril.19-23

4. Kwak JY, Han KH, Yoon JH, Moon HJ, Son EJ, Park SH, et al. Thyroid imaging reporting and data system for US features of nodules: a step in establishing better stratification of cancer risk. Radiology [en línea]. 2018 [citado 14 Feb 2019]; 260:892-9. Disponible en: http://europepmc.org/abstract/med/21771959

5. Dirección Nacional de Estadísticas. Anuario Estadístico de Salud, 2016 [en línea]. La Habana: MINSAP; 2017. [citado 20 Feb 2019]. Disponible en: http://bvscuba.sld.cu/anuario-estadistico-de-cuba/

6. Guardia GE de la, Quintana PA, Quintana MJJ, Sánchez RT, Reyes BES, Guardia ME de la. Panorámica diagnóstica y terapéutica del cáncer de tiroides en Camagüey. Rev Cubana Cir [en línea]. 2016 Oct [citado 20 Feb 2019]; 40(4):81-8. Disponible en: http://scielo.sld.cu/scielo.php?pid=S0034-93200040003&script=sci_arttext#cargo

7. Rodríguez FZ, Dorimain P, Pereira DOL, Falcón VGC, Ochoa MG. Observaciones críticas en torno a las afecciones nodulares de tiroides. MEDISAN [en línea]. 2015 [citado 20 Feb 2019]; 19(4):500-512. Disponible en: http://medisan.sld.cu/index.php/san/article/view/116

8. Pitoia F, Cavallo A. Cáncer de tiroides en búsqueda del tratamiento individualizado. Med [en línea]. 2017 [citado 20 Feb 2019]; 72(5):503-13. Disponible en: http://www.scielo.org.ar/pdf/medba/v72n6/v72n6a13.pdf

9. Reyes DY, Moró VRÁ, Ramírez NE, Cardona DL. Cáncer de tiroides en el Hospital “Dr. Agostinho Neto”. Rev. inf. cient. [en línea]. 2018 [citado 20 Feb 2019]; 97(2):[aprox. 8 p.]. Disponible en: http://revinfcientifica.sld.cu/index.php/ric/article/view/1840

10.Fadda G, Basolo F, Bondi A, Bussolati G, Crescenzi A, Nappi O, et al. Cytological classification of thyroidnodules. Proposal of the SIAPEC-IAP Italian Consensus Working Group. Pathologica [en línea]. 2010 Oct [citado 12 Feb 2019]; 102(5):405-8. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/21361121

11.Cossu A, Budroni M, Paliogiannis P, Palmieri G, Scognamillo F, Cesaraccio R, et al. Epidemiology of Thyroid Cancer in an Area of Epidemic Thyroid Goiter. J Cancer Epidemiol [en línea]. 2018 [citado 20 Feb 2019]; 13:584-8. Disponible en: https://www.hindawi.com/journals/jce/2013/584768/abs/

12.Cazzato R, Bonichon F, Buy X, Godbert Y, Figuereido B de, Pointillart V, et al. Over ten years of single-institution experience in percutaneous image-guided treatment of bone metastases from differentiated thyroid cancer. Eur J Sur Oncol [en línea]; 2018, [citado 20 Feb 2019]; 9:1247-55. Disponible en: http://refhub.elsevier.com/S0326-4610(17)30007-4/sbref0580

13.Guevara GN. Validación ecográfica en TIRADS en pacientes con patología tiroidea [en línea]. Cuenca: Universidad de Cuenca; 2017 [citado 14 Feb 2019]. Disponible en: http://dspace.ucuenca.edu.ec/bitstream/123456789/4002/1/doi865.pdf

14.Frates MC, Benson CB, Charboneau JW, Cibas ES, Clark OH, Coleman BG, et al. Management of thyroid nodules detected at US. Radiology [en línea] 2017 [citado 14 Feb 2019]; 237:794-800. Disponible en: http://pubs.rsna.org/doi/abs/10.1148/adiol.2373050220

15.Gutiérrez H, Tamez HE. Características clínicas del carcinoma folicular de tiroides. Rev Med Inst Mex Seg Soc [en línea]. 2017 [citado 20 Feb 2019]; 51(2):188-91. Disponible en: http://www.medigraphic.com/pdfs/imss/im-2013/im132n.pdf

16.González F, Nicolau MO, Durruthy O, Guerra GWA. Nódulos del tiroides: incidentalomas. AMC [en línea]. 2009 Jul-Ago [citado 20 Feb 2019]; 13(4): [aprox. 12 p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1025-02552009000400005&lng=es

Published

2019-07-23

How to Cite

1.
Ramírez Núñez E, Moró Vela R Ángel, Llime Matos Y, Reyes Domínguez Y. Surgical management of thyroid tumors in the Teaching General Hospital "Dr. Agostinho Neto", Guantánamo 2016-2018. Rev Inf Cient [Internet]. 2019 Jul. 23 [cited 2025 Apr. 19];98(3):355-63. Available from: https://revinfcientifica.sld.cu/index.php/ric/article/view/2425

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Original Articles