Abstract
Background and objective
Thyroid cancer is a rare disease; it constitutes only 1% of all malignancies, usually presents as a thyroid nodule which is a very common affection. The aim of this study was to evaluate the epidemiological profile of thyroid carcinoma in a western Algeria region and to highlight the diagnosis means and treatment process of patients.
Methods
Our epidemiological retrospective descriptive study has been performed at the level of surgery department of the university hospital of Sidi Bel Abbes region (western Algeria) from 2004 to 2013 using a database of patients with thyroid cancer. The medical records data were analyzed through the Statistical Package for the Social Sciences (SPSS Version 20.0).
Results
A total of 78 patients were diagnosed with cancer of the thyroid (63 females and 15 males) with a mean age of 45.60 ± 15.71 years, ranging from 13 to 85 years old, and a sex ratio of 4.2. Through our investigation, the age and gender have been established as consistent risk factors for the disease. The characteristic of cancerous nodule were hypoechoic, solid and cold. Even the liquid and hot nodules can be malignant. The Levothyroxine and Carbimazole treatments were very effective for hypothyroidism and hyperthyroidism respectively.
Conclusion
The thyroid cancer is a public health problem, because of its alterable pathological mechanism that is why we should imply a therapeutic solution accorded to this pathology.
Résumé
Contexte et objectif
Le cancer de la thyroïde est une maladie rare; elle ne constitue que 1% de toutes les tumeurs malignes. Généralement il se présente comme un nodule thyroïdien qui est une affection très fréquente. Le but de cette étude était d’évaluer le profil épidémiologique du cancer de la thyroïde dans l’Ouest algérien et de mettre en évidence les moyens de diagnostic et le processus du traitement des patients.
Méthodes
Notre étude épidémiologique rétrospective et descriptive a été effectuée au niveau du département de chirurgie de l’hôpital universitaire de la région de Sidi Bel Abbes (Ouest de l’Algérie) de 2004 à 2013 en utilisant une base de données de patients atteints de cancer de la thyroïde. Les données de dossiers médicaux ont été analysées par le logiciel de statistiques pour les sciences sociales (SPSS version 20.0).
Résultats
78 patients ont été diagnostiqués avec un cancer de la thyroïde (63 femmes et 15 hommes) avec un âge moyen de 45.60 ± 15.71 ans, allant de 13 à 85 ans, et une sex-ratio de 4.2. Grâce à notre enquête, l’âge et le sexe ont été établis comme facteurs de risques cohérents de la maladie. Les caractéristiques de nodules cancéreux étaient de type hypoéchogène, solide et froide. Même les nodules liquides et chauds peuvent être malins. Les traitements lévothyroxine et Carbimazole ont été très efficaces respectivement pour l’hypothyroïdie et l’hyperthyroïdie.
Conclusion
Le cancer de la thyroïde est un problème de santé publique. En raison de son mécanisme pathologique modifiable, il devient primordial de développer des stratégies thérapeutiques adéquates.
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Bendouida, A.F., Moulessehoul, S., Harir, N. et al. Epidemiology, diagnosis and treatement of thyroid cancer in Western Algeria (Sidi bel Abbes region). J Afr Cancer 7, 213–217 (2015). https://doi.org/10.1007/s12558-015-0405-6
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DOI: https://doi.org/10.1007/s12558-015-0405-6