Risk of thyroid carcinoma in patients treated surgically with assumed benign cytology in Riyadh, Saudi Arabia

Risk of thyroid carcinoma in patients treated surgically with assumed benign cytology in Riyadh, Saudi Arabia

Webinar on Otorhinolaryngology: ENT Surgery and Cosmetics
February 09, 2022

Abdelaziz AL Salem

King Abdulaziz Medical City, Saudi Arabia

Scientific Tracks Abstracts : Otolaryngology Online

Abstract:

Objectives: This study aimed to report thyroid malignancy rate in benign fine-needle aspiration (Bethesda II) at King Abdelaziz Medical City and to evaluate the factors that affect the false-negative outcomes of FNA. Methods: All patients referred for thyroidectomy from 2009 to 2019 were reviewed (n = 1968). Only patients with a benign FNA, corresponding to the Bethesda II, were included (n = 384). Information on age, gender, body mass index (BMI), serum thyroid-stimulating hormone, type of surgery and histopathological outcomes were retrieved. Results: Of the sample (n=384) with an initial benign FNA, 63 patients had a malignancy on the postoperative pathological examination, yielding an overall false-negative rate of 16.4%. The most frequently reported histopathological type was papillary thyroid microcarcinomas (n=52). For the falsenegative group, the mean age was 43.8 years (range 21-70 years) with an 84.1% female predominance. The surgical choice for 74% (n=46) of the cases was total thyroidectomy. Age, gender, thyroid function and BMI did not affect the false-negative rate of benign FNA (p>0.05). Conclusion: This study indicated a higher risk of malignancy compared to literature related to benign FNA. The risk of malignancy should be considered, even with benign FNA.

Biography:

Abdul-Aziz Alsalem is a respected otolaryngologist head and neck surgeon at king abdelaziz medical city, ministry of national guard health affairs, riyadh, Saudi Arabia. He received his bachelor of medicine bachelor of surgery from king saud university, Saudi Arabia. In addition, he has completed his Otolaryngology head & neck surgery residency training at a joint residency program that involved tertiary institutions, riyadh city. He is board-certified and has expertise in examining, diagnosing and treating ears, nose and throat diseases, especially head and neck. He has multiple publications in multiple reputed Journals and he is a member of many societies related to his field of interest.

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