The place of lobectomy in follicular neoplasia
Ömer Uslukaya1, Zübeyir Bozdağ1, Ahmet Türkoğlu1, Hatice Gümüş2, Zafer Pekkolay3, Arif Hamidi2, Metehan Gümüş1
1Dicle Üniversitesi Tıp fakültesi Genel Cerrahi Anabilim Dalı, Diyarbakır
2Dicle Üniversitesi Tıp fakültesi Radyoloji Anabilim Dalı, Diyarbakır
3Dicle Üniversitesi Tıp fakültesi İç Hastalıkları Anabilim Dalı, Diyarbakır
Keywords: Follicular neoplasm, thyroidectomy, lobectomy
Purpose: The diagnosis of follicular carcinoma is established by evaluating the invasion of capsule and vesssels. Thus, the diagnosis of carcinoma could not made by fine needle aspiration (FNA) biopsy/frozen examination and the diagnosis is reported as follicular neoplasia. Follicular neoplasia consists of 55% of suspicious FNA cases and cancer is detected in 20% of final histopathological examinations. Total tiroidectomy seems to be redundant in 4 of 5 patients. In the present study we aimed to report our lobectomy experinece in patients with follicular neoplasia.
Material and method: Eleven patients who had been made lobectomy for follicular neoplasia in Dicle University Medical Faculty, General Surgery Department between September 2013 and March 2015 were enrolled into the study. Demographic features, localization of lesion, histopathologic diagnosis, management and duration of hospital stay were recorded.
Findings: Three of patients (27.3%) were men and mean age was 35.1 years. Post-operative diagnosis were papillary thyroid carcinoma, follicular variant in 2 (18.2%), follicular adenoma in 8 (72.7 %), nodular colloidal guatr in 1 (9.1%). Patients with papiller follicular variant underwent total supplementary thyroidectomy within a week. None of patients experienced transient or persistant complication.
Conclusion: Lobectomy might be a favorable option in patients diagnosed as follicular neoplasia with FNA for reducing the complications and abolishing the requirement of lifelong drug therapy. Moreover, a %18.2 of risk of cancer report in aggreament with literature might be kept in mind. The patients should be informated for the possibility of cancer in final pathology and a require of re-operation.