alexa Primary Thyroid Tuberculosis, Intraoperative Diagnosis
ISSN: 2167-7948

Journal of Thyroid Disorders & Therapy
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Research Article

Primary Thyroid Tuberculosis, Intraoperative Diagnosis

Hector Prado Calleros1*, Miguel Garcia De La Cruz1, Monica Rodriguez Valero1 and Magdalena Reyes Castro2
1Division of Otolaryngology and Head and Neck Surgery, General Hospital Dr. Manuel Gea Gonzalez, Mexico
2Department of Pathology, General Hospital Dr. Manuel Gea Gonzalez, Mexico
Corresponding Author : Hector Prado Calleros
Calzada de Tlalpan 4800, Colonia Seccion XVI
Delegacion Tlalpan, C.P. 14080, Mexico
E-mail: [email protected]
Received September 20, 2013; Accepted January 08, 2014; Published January 10, 2014
Citation: Prado CH, Garcia CM, Rodriguez VM, Reyes CM (2014) Primary Thyroid Tuberculosis, Intraoperative Diagnosis. Thyroid Disorders Ther 3:156. doi:10.4172/2167-7948.1000156
Copyright: © 2014 Calleros HP, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Background: A cytology diagnosis of a Hurthle cell lesion does not provide information regarding the presence or absence of thyroid cancer. The risk of malignancy in Hurthle cell lesions varies in the literature, ranging from 4% to 69%. Objectives of this study are to determine what percent of Hurthle cell lesions are found to be malignant on final pathology and to determine if there are demographics, risk factors, or ultrasound characteristics that will preoperatively help predict malignancy. Methods: A total of 99 consecutive patients had a cytology diagnosis of a Hurthle cell lesion. All fine needle aspirations were performed and interpreted at a single tertiary care referral hospital. Final surgical pathology as well as pre-operative variables including demographics, risk factors, and ultrasound characteristics were reviewed. Results: Eighteen of 50 (36%) patients had thyroid cancer on final surgical pathology. None of the pre-operative variables were significantly associated with the final histopathological diagnosis on univariate analysis. Conclusions: A thyroid lobectomy is an acceptable approach for the patient with a cytology diagnosed Hurthle cell lesion, proceeding with a completion thyroidectomy if cancer is seen on final surgical pathology.

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