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Fırat Üniversitesi Sağlık Bilimleri Tıp Dergisi |
2022, Cilt 36, Sayı 3, Sayfa(lar) 223-227 |
[ Turkish ] [ Tam Metin ] [ PDF ] |
Lobectomy is the Optimal Surgical Approach for Patients Diagnosed with Atypia of Uncertain Significance According to Bethesda Classification in Thyroid Nodules |
Ömer Faruk AYDOĞAN1, MÜRŞİT DİNÇER1, KADER UĞUR2, ONUR AĞ1, EBUZER DÜZ1, REFİK AYTEN1 |
1Fırat Üniversitesi, Tıp Fakültesi, Genel Cerrahi Ana Bilim Dalı, Elazığ, TÜRKİYE 2Fırat Üniversitesi, Tıp Fakültesi, Endokrin Kliniği, Elazığ, TÜRKİYE |
Keywords: Goiter, nodule, thyroid, atypia of insignificant significance |
Objective: The type of surgery performed in patients diagnosed with atypia of uncertain significance according to the Bethesda classification continues to be discussed. Postoperative malignancy rates vary in different centers. In this study, we planned to compare the preoperative findings and postoperative complications of the patients who underwent lobectomy in patients with atypia of uncertain significance as a result of fine needle aspiration biopsy, completion thyroidectomy and total thyroidectomy after lobectomy was performed and the histopathology was found to be malignant.
Material and Method: Between February 2014 and March 2021, 1230 patients with thyroid nodules who were admitted to the University Hospital of Fırat and reported as atypia/ follicular lesion of undetermined significance according to the Bethesda classification of were retrospectively analyzed and 228 patients who underwent surgery were included in the study. The study was started after the approval of the Ethics Committee of the University of Fırat on 5.3.2020. Results: Postoperative histopathological results of the patients were 106 (46.5%) malignant and 122 (53.5%) were benign. While the mean age of the benign patients was 47.02±11.397, the mean age of the malignant patients was 50.75±11.993. The mean age of the malignant patients was significantly higher than the benign patients. There was no difference in terms of complications between the patients who underwent total thyroidectomy and the patients who underwent completion thyroidectomy after unilateral lobectomy due to malignant outcomes. Conclusion: Lobectomy is an adequate surgery for patients diagnosed with atypia of indeterminate significance twice in a row. |
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