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Abstract
THE PREVALENCE OF MICRO PAPILLARY THYROID CARCINOMA AND ITS CORRELATION WITH AGE, GENDER AND THE HISTOLOGICAL BACKGROUND
May Mohammed Saleem AlQaraghuli*, Adil R. Alsaadawi**
ABSTRACT
Objectives: The aim of this study was to investigate the prevalence of micro papillary thyroid carcinoma in our Histopathology Department and their relation to age, gender and histological background in patients underwent total or near total and partial thyroidectomy for benign and malignant reasons. Methods: 1000 specimen’s blocks examined for patients who had undergone total or near total and partial thyroidectomy for both non-neoplastic and neoplastic thyroid lesions, between January 2020 to May 2022 at Histopathology Department/Teaching Laboratories/Medical city/Baghdad/Iraq. Results: Out of 1000 thyroidectomy specimens, 103 (10.3%) cases with micro papillary thyroid carcinoma, from them 86 cases (83.4%) were with benign histological background and 17 cases (16.5%) were with low risk and malignant histological background. There were 11 males and 92 females with a male to female ratio of 1:8.3. The age ranged in males from 29 to 85 years with a mean age of 49.7 years and the age ranged in females from 17–70 years with a mean age of 40.9 years. In non-neoplastic lesions, the predominant histological background was the multi nodular goiter with 65 (63.1%) cases followed by Hashimoto thyroiditis with 12 (11.6%). In neoplastic lesions, papillary carcinoma was the commonest histological background lesion with 13 (12.6%) cases. Multifocal disease was present in 25 patients (24.2%). Conclusion: Nodular colloid goiter was the most common non–neoplastic histological background with micro papillary thyroid carcinoma with female predominance. Papillary carcinoma was the most frequent thyroid neoplastic histological background. The forth and fifth decade were the most common age group with incidental micro papillary thyroid carcinoma.
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