Supervivencia 5 años y factores relacionados a pacientes tiroidectomizados con carcinoma diferenciado de tiroides en el servicio de endocrinología del Hospital Abel Gilbert Pontón durante 2012 - 2017.

Abstract

Introduction: Differentiated thyroid carcinoma (DTC) is the most frequent neoplasm of endocrine tumors, with a survival rate greater than 90%. Objectives: To know 5-year survival and to analyze the factors related to thyroidectomized patients with DTC in an external consultation of Abel Gilbert Pontón Hospital in the period 2012 - 2017. Patients and methods: Retrospective cohort study in patients with CDT (n: 293). 90.4% were papillary type, women accounted for 87.4%, with mean age at diagnosis of 55 ± 12.6. Multiple variables were analyzed from demographic, histological, diagnostic, and surgical data to the date of death. Kaplan Meier was used to calculate survival and we used Log-Rank and COX regression methods for the analysis of related factors. Results: The probability of survival was 92.8%. There were 21 deaths representing 7.2% as a result of the CDT. Factors associated with lower survival were: follicular histological type, extrathyroidal spread and distant metastases. Conclusions: The results obtained in our study on survival were equivalent to that of the scientific base. Patient staging according to the mortality risk is important, in order to identify the treatment used for each patient.