Prevalencia del cáncer diferenciado de tiroides en pacientes de 40 - 60 años en el hospital de Solca de la ciudad de Guayaquil durante el periodo 2018 - 2019.

Abstract

Thyroid cancer is the most common malignancy of the endocrine system, with more deaths annually than all other cancers of the endocrine origin combined. Likewise, the incidence of this disease has increased globally. Differentiated thyroid cancer constitutes 80% of cases, affecting commonly women with an age over 45 years. Determine the prevalence of differentiated thyroid carcinoma. Information was collected from 120 medical records diagnosed with thyroid cancer from 2018 to 2019 at Solca Hospital in the city of Guayaquil. The results obtained showed 120 cases of thryoid cancer, of which 112 (93.3%) were female and 8 (6.7%) were male. The age of the patients had a mean of 48.43 (± 4.948) years. We found 113 cases of papillary cancer (94.2%) of which 105 were female and 8 were male and 7 of follicular cancer (5.8%) of which were female. At a demographic level, Costa 98 (81.6%), Sierra 21 (17.5%) and Amazonia 1 (0.83%). The patients who had a family pathological history were 98 (81.7%) and those who were not 22 (18.3%). The patients who underwent total thyroidectomy were 107 (89.2%) and 13 (10.8%) subtotal thyroidectomy. A measurement of thyroglobulin levels was performed after surgery and a mean of 1.398 (± 2.3756) ng /mL was found with a minimum of 0.1 ng /mL and a maximum of 14 ng /mL. 120 cases of differentiated thyroid cancer were studied, most of which were female and of papillary histological subtype, most of the patients came from the Coast. Due to the age range established by the study, more total thyroidectomies were found the subtotal ones and both in the immediate postoperative period and in the follow – up period, most had thyroglobulin levels with negative antithyroglobulin antibodies related to a good prognosis.