PREVALENCE OF DIFFERENTIATED THYROID CANCER IN MULTINODULAR GOITER IN SULAIMANI GOVERNORATE

Volume 14 , Issue 1 , March 2024 , Pages 115-121

Authors

Rzgar Muhedin Ahmad 1

1 College of Medicine, University of Sulaimani, Kurdistan Region, Iraq.

DOI logo 10.17656/jsmc.10457

Keywords

Abstract

Background
The global prevalence of multinodular goiter is high, with most cases occurring in developing countries. In
recent literature, the incidence of differentiated thyroid carcinoma among patients with multinodular goiter
has risen.
Objectives
To ascertain the prevalence of differentiated thyroid cancer in patients with multinodular goiter. Patients
and method: This cross-sectional study was done in a teaching hospital in Sulaimani, Iraq, to determine the
frequency of differentiated thyroid cancer in 64 patients with multinodular goiter admitted to the surgical
ward from Feb 1, 2021, to Jan 31, 2023. A history and clinical examination, a fi ne needle aspiration, and a
postoperative histopathology examination were performed to confi rm the diagnosis.
Results
The mean age was 39.4 years old with ± SD 11.2; more than half of the participants were between 30 and 50
(53.1%) and older than 50 (37.5%). Females were predominant at 53/64 (82.8%). 31.25% of the multinodular
goiter patients had differentiated thyroid carcinoma by histopathology, while it was 21% by fi ne needle
aspiration. The histopathology of multinodular goitre patients revealed that 68.75% had endemic goitre, 12
(18.75) had papillary carcinoma, and 6 (9.375) had follicular thyroid carcinoma. Smoking and older age were
associated with differentiated thyroid carcinoma in patients with multinodular goiter.
Conclusion
With a high proportion of malignancy among multinodular thyroid goiter participants according to FNA
and histopathology, the fi ne needle aspiration test result was a low-accurate tool for differentiated thyroid
carcinoma diagnosis associated with multinodular goiter.

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  • Published at21 March 2024

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