THYROID MALIGNANCY

Objectives: (1). Audit of our one year experience of management of thyroidcarcinoma in accordance with latest approved guidelines. (2) To point-out high risks of malignancy in population withthyroid diseases. Design: Prospective study. Setting: Surgical Unit-IV of DHQ Hospital Faisalabad with cooperationof Department of Pathology, Punjab Medical Collage, Faisalabad. Period: From 2000– 2001. Patients & method. Allpatients irrespective of age and sex with suspicious of thyroid malignancy were included in this study . Out of total 56patients of thyroid diseases 13 cases were proved thyroid carcinoma on histopathology. Results: Carcinoma of thyroidwas found more common in females. Papillary carcinoma was found in early age group. Follicular carcinoma was foundin younger age group. All patients with anaplastic carcinoma were above, the age of 50 years. Total thyroidectomy wasfound the treatment of choice for the management of carcinoma thyroid. Modified neck dissection was done in selectedcases. We offered lobectomy for one patient with young age with 1.5cm lesion in one lobe. Most patients were placedon TSH suppression thyroxine therapy. Postoperative follow– up was done for one year. The most important prognosticfactor was age of patient, size, type and extent of tumor. Another important factor was the treatment of the diseaseoffered to the patient. Conclusions: Screening programme at least in goitrous areas should be done to detectmalignancy at early stage and then early management should be offered in hope of good survival and least morbidity.