SciELO - Scientific Electronic Library Online

vol.51 issue5Familial nommedullary thyroid cancerUsefulness of ultrasound in the diagnosis and management of well-differentiated thyroid carcinoma author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand




Related links


Arquivos Brasileiros de Endocrinologia & Metabologia

On-line version ISSN 1677-9487


FRIGUGLIETTI, Celso U.M.  and  KULCSAR, Marco Aurélio V.. Thyroid microcarcinoma: experience and management in private clinic. Arq Bras Endocrinol Metab [online]. 2007, vol.51, n.5, pp.774-782. ISSN 1677-9487.

OBJECTIVE: The study of papillary microcarcinoma observed during the thyroidectomies in our private clinic. MATERIAL AND METHODS: We reviewed clinical and histopathological results of 1,930 consecutive patients submitted for thyroidectomies in the period from 2002 to 2006, 606 had thyroid carcinomas but only 332 were papillary microcarcinoma. We studied gender, age, histologic type, size, multifocality, frequency of neck dissection, and results of Whole Body Scan and thyroglobulin. RESULTS: Overall, we found 48 males and 146 older than 45 years old. Therapy included total thyroidectomy for all, therapeutic neck dissection in 19 (5.72%), and radioiodine for 313 (94.27%). We found 5 patients with distant metastases (1.5%). After 1 year, from 170 submitted to WBS, we consider 141 free of disease, 21 have positive thyroglobulin antibody, 6 have thyroglobulin level above 2 ng/ml, being 1 with lung metastases and other with lymph node recurrence (0.3%). CONCLUSION: We recommend total thyroidectomy, therapeutic neck dissection and radioiodine ablation when present clinical and pathological risk factors.

Keywords : Thyroid; Papillary carcinoma; Microcarcinoma; Clinical approach.

        · abstract in Portuguese     · text in Portuguese     · Portuguese ( pdf epdf )


Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License