Balice G. Theintz Rev Med Suisse ; volume 3. Bibliographie 1 Delange F. Bull WHO ; N Engl J Med ; Monitoring the adequacy of salt iodization in Switzerland : A national study of school children and pregnant women.
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Abstract Introduction Nodular thyroid disease is very common in the general population, especially in areas with iodine deficiency, and it represents a worldwide public health problem. The main point lies in the increasing incidence of cancer in goiter and thyroid nodules.
Purpose To study the incidence of cancer in thyroid goiters, focusing on various clinical, epidemiological, and paraclinical factors, which explain the increased incidence. Methods: Retrospective study that has included patients operated for nodular thyroid disease. We have studied the incidence of malignancy and its main risk factors. Results Of the surgical patients, 23 had cancer 6. All the 23 patients were living in an iodine deficiency area.
The combination of several clinical and ultrasound signs of suspected malignancy has confirmed the diagnosis in 19 of 23 cases of cancer. Conclusion The results of our study reinforce those of the literature. The incidence of cancer in thyroid nodules and goiter iscontinuously increasing worldwide in recent years. This finding is related to the development of diagnostic tools including ultrasound and fine needle aspiration cytology.
This increasing incidence of cancer gives surgeon one more reason to operate a nodular goitre. This is a preview of subscription content, log in to check access.
Pacini F, Schlumberger M, Dralle H, et al European consensus for the management of patients with differentiated thyroid cancer of the follicular epithelium. Eur J Endocrinol —
Goitre et nodule thyroïdien