Bekir UÇAN, Mustafa ŞAHİN, Mustafa ÖZBEK, Muhammed KIZILGÜL, Müyesser Saykı ARSLAN, Mustafa ÇALIŞKAN, Güleser SAYLAM, Erman ÇAKAL

Lobectomy may not be suitable for patients with follicular neoplasm cytology

Background/aim: The most appropriate surgical management of follicular neoplasm/suspicious for follicular neoplasm FN lesions is still contradictory. We aimed to evaluate the data of our patients with follicular neoplasm treated with thyroidectomy. Materials and methods: We retrospectively analyzed the data of 74 patients who were diagnosed with follicular neoplasm cytology FN cytology by fine needle aspiration biopsy FNAB and had undergone total thyroidectomy or lobectomy with isthmectomy LwI . Results: We examineda total of 74 patients, of which 64 83.7% were female and 10 16.3% were male. The malignancy rate in the pathological examinations of these patients was 31/74 41.9% . The most common cancer among the patients with malignancy was papillary thyroid carcinomas PTC 20/31, 65% . Among the subtypes of PTCs, 11 were classical PTC, 5 were a follicular variant of PTC, 2 were the oncocytic variant of PTC, 1 was the diffuse sclerosing variant, and 1 was a columnar cell variant of PTC.Conclusion: Since most FN cytology has been pathologically diagnosed with papillary cancer and some papillary cancer subtypes have been unfavorable pathologically, total thyroidectomy should be the most suitable treatment option in this group. Lobectomy with LwI is not suitable for patients with FNAB-proven FN cytology.

Keywords:

Follicular neoplasm, lobectomy, thyroid carcinoma,

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