CARCINOMA OF THE THYROID A Review of
100
Cases
BY
J. W. BRADBEER, M.B., F.R.C.S.
Surgical Registrar, Cardiff Royal Infirmary Surgery, Bristol Royal Infirmary
Late S.H.O. in
INCIDENCE
of the thyroid is uncommon. In the South-West Region it accounts for per 0'fy) per cent of all cancer, (excluding that of the skin). This compares with 0-4 Cent of a total of some 447,000 deaths from cancer (excluding the skin) notified in this between 195I and 1955.1 In the Bristol Royal Infirmary since 1950, an j Patients with enlarged thyroids have been seen, and of these, 28 were malignant, -j, ^dence of 2-5 per cent. Paper reviews 100 cases of carcinoma of the thyroid occurring in the Southit\ tjj 8^on ?f England. Half of these patients attended the Bristol Royal Infirmary ^rSt ^nstance> the others were referred to the radiotherapy department at the risM this Peneral Hospital, having first been treated at other hospitals in the region. In riCS .t'lere are female and 20 male patients, a ratio of 4 to 1. Up to the age of ^4>th rat'?'s 3*3 females to one male, whilst over 64, there were 31 females and only S" l PrePon^erance females is peculiar, as the usual ratio is 2 females to itial ^is anomaly is partly explained by the fact that' only 5 of our patients were a recent report by Alhadeff et al.2 from the Post-Graduate 5e 4?* at one quarter of their patients were under ^ammersmith, 40 years of age, and '^His a?e jL group the sex incidence was equal. as 2 y 4? per cent of cases occurred in the 55-64 age group, the youngest patient 5> and the oldest 88 (Table 1).
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table 1 AGE AND SEX INCIDENCE OF 100 CASES OF CARCINOMA OF THE THYROID
Age 25-34 35-44 45-54
55-64 65-74 75-84 85-94
Males
Females
Total 3
2
10
2
13
10
28
38
3
21
24
9 1
80
Total
PRE-EXISTING GOITRES
widely believed that in most patients, thyroid carcinoma was preceded by ??itre- Cade3 from 20 different papers on the subject, determined the tk^aKe fi % bei- ?Ure to be 71 per cent. In recent years however, clinicians have not supported an a?d thyroidectomy had been done ten years before. On examination the r
100
Cases
BY
J. W. BRADBEER, M.B., F.R.C.S.
Surgical Registrar, Cardiff Royal Infirmary Surgery, Bristol Royal Infirmary
Late S.H.O. in
INCIDENCE
of the thyroid is uncommon. In the South-West Region it accounts for per 0'fy) per cent of all cancer, (excluding that of the skin). This compares with 0-4 Cent of a total of some 447,000 deaths from cancer (excluding the skin) notified in this between 195I and 1955.1 In the Bristol Royal Infirmary since 1950, an j Patients with enlarged thyroids have been seen, and of these, 28 were malignant, -j, ^dence of 2-5 per cent. Paper reviews 100 cases of carcinoma of the thyroid occurring in the Southit\ tjj 8^on ?f England. Half of these patients attended the Bristol Royal Infirmary ^rSt ^nstance> the others were referred to the radiotherapy department at the risM this Peneral Hospital, having first been treated at other hospitals in the region. In riCS .t'lere are female and 20 male patients, a ratio of 4 to 1. Up to the age of ^4>th rat'?'s 3*3 females to one male, whilst over 64, there were 31 females and only S" l PrePon^erance females is peculiar, as the usual ratio is 2 females to itial ^is anomaly is partly explained by the fact that' only 5 of our patients were a recent report by Alhadeff et al.2 from the Post-Graduate 5e 4?* at one quarter of their patients were under ^ammersmith, 40 years of age, and '^His a?e jL group the sex incidence was equal. as 2 y 4? per cent of cases occurred in the 55-64 age group, the youngest patient 5> and the oldest 88 (Table 1).
o^noma l?0Q6?Un.try
\Vestp
s? Sijiaj6
^Udej.6', Hool
table 1 AGE AND SEX INCIDENCE OF 100 CASES OF CARCINOMA OF THE THYROID
Age 25-34 35-44 45-54
55-64 65-74 75-84 85-94
Males
Females
Total 3
2
10
2
13
10
28
38
3
21
24
9 1
80
Total
PRE-EXISTING GOITRES
widely believed that in most patients, thyroid carcinoma was preceded by ??itre- Cade3 from 20 different papers on the subject, determined the tk^aKe fi % bei- ?Ure to be 71 per cent. In recent years however, clinicians have not supported an a?d thyroidectomy had been done ten years before. On examination the r
