Cáncer diferenciado de tiroides atención en un hospital de tercer nivel de Bolivia
Abstract
El cáncer diferenciado de tiroides es un problema creciente en el mundo. Es un término válido que se acuño para separar los tipos de cánceres de un mejor pronóstico, de los anaplásicos o cánceres más complejos de pronóstico sombrío. El presente trabajo pretende mostrar y describir las características de pacientes que son atendidos en un hospital de tercer nivel en Santa Cruz de la Sierra - Bolivia, hospital que desde el año 2014 adquirió como recurso humano a un cirujano de cabeza y cuello. Se constituye en un estudio cuantitativo, descriptivo, observacional y transversal en ficha de cotejo de las historias clínicas de 10 años de atención de este tipo de pacientes en un hospital público, de referencia en el oriente boliviano. Los resultados más representativos fueron que: Se evidencio un aumento de la atención de pacientes con cáncer diferenciado de tiroides, llegando a representar el 40% de aquellos que se operaron por bocio o patología tiroidea, de este grupo el 83,33% eran mujeres y 16,67% varones en una relación de 4:1, la mayoría de ellos sobre la edad de 45 años de promedio, provenientes de áreas urbanas en un 68,6% y como el principal motivo de consulta de una masa evidente en el cuello en un 34,6% de los casos. Estudios similares se analizaron en la discusión del presente trabajo, mostrando un interés por el cirujano general que atiende pacientes con patología bociógena y que se enfrentara a esta patología en hospitales de tercer nivel a lo largo del territorio nacional.
Differentiated thyroid cancer is a growing problem in the world. It is a valid term that was coined to separate cancers with a good prognosis from anaplastic or more complex cancers with a poor prognosis. The present work aims to show and describe the characteristics of patients who are treated in a tertiary hospital in Santa Cruz de la Sierra - Bolivia, a hospital that since 2014 acquired a head and neck surgeon as a human resource. It is constituted in a quantitative, descriptive, observational and cross-sectional study in a checklist of the clinical histories of 10 years of care of this type of patients in a public hospital, of reference in eastern Bolivia. The most representative results were that: An increase in the care of patients with differentiated thyroid cancer was evidenced, reaching 34,18% of those who underwent surgery for goiter or thyroid pathology, 83,33% of this group were women and 16,67% men in a ratio of 4:1, most of them over the age of 45 on average, coming from urban areas in 68,6% and as the main reason for consultation an evident mass in the neck in 34, 6% of cases. Similar studies were analyzed in the discussion of this paper, showing an interest in the general surgeon who cares for patients with goitrogenic pathology and who will face this pathology in tertiary level hospitals throughout the national territory.
Differentiated thyroid cancer is a growing problem in the world. It is a valid term that was coined to separate cancers with a good prognosis from anaplastic or more complex cancers with a poor prognosis. The present work aims to show and describe the characteristics of patients who are treated in a tertiary hospital in Santa Cruz de la Sierra - Bolivia, a hospital that since 2014 acquired a head and neck surgeon as a human resource. It is constituted in a quantitative, descriptive, observational and cross-sectional study in a checklist of the clinical histories of 10 years of care of this type of patients in a public hospital, of reference in eastern Bolivia. The most representative results were that: An increase in the care of patients with differentiated thyroid cancer was evidenced, reaching 34,18% of those who underwent surgery for goiter or thyroid pathology, 83,33% of this group were women and 16,67% men in a ratio of 4:1, most of them over the age of 45 on average, coming from urban areas in 68,6% and as the main reason for consultation an evident mass in the neck in 34, 6% of cases. Similar studies were analyzed in the discussion of this paper, showing an interest in the general surgeon who cares for patients with goitrogenic pathology and who will face this pathology in tertiary level hospitals throughout the national territory.
Description
Vol. 47, No. 2