Tuesday, March 5, 2013

Cancer Thyroid - Abstract



Analysis of Five Year Survival Rate on Thyroid Cancer Patients
at Dr. M. Djamil Hospital Padang

By: Oktahermoniza, Wirsma Arif Harahap*, Tofrizal **, and Rosfita Rashid ***
Departement of Surgery, Faculty of Medicine, Andalas University, Dr. M. Djamil Hospital, Padang, Indonesia
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ABSTRACT

Background: Thyroid cancer is a rare cancer, but is the most common cancer in endocrine organ. The purpose of this study was to determine the five-year survival thyroid cancer patients in the management at Hospital Dr. M. Djamil Padang from January 2007 to December 2011.
Methods: Subjects were 117 patients in the management of thyroid cancer in Hospital Dr. M. Djamil Padang from January 2007 to December 2011. Data were analyzed with the approach of survival time using Kaplan-Meier method and log rank test.
Results: Median age 39 years (range, 11 to 77 years), median follow-up time of 32 months (range, 1 to 70 months), median tumor size was 6 cm (range, 1 to 16 cm). Obtained 100 (85.5%)%) patients with tumor-free survival, 7 (6%) patients with local recurrence, 1 (0.9%) distant metastases, and 9 (7.7%) patients died. Overall five survival rate of thyroid cancer in this study was 92.3%. Factors of age, tumor size and histopathological type was significantly associated with survival (P = 0.000), (P = 0.046) and (P = 0.000). While the factors gender, type of surgery, and adjuvant therapy had no significant association with survival.
Conclusion: Age, tumor size, and type of histopathology associated significantly with survival. Gender, type of surgery, and adjuvant therapy did not significantly associated with survival.

Key Words: Age, tumor size, type of Histopathology, Survival, Thyroid Cancer.
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 *  Departement of Surgery, Faculty of Medicine, Andalas University, Dr. M. Djamil Hospital, Padang, Indonesia
** The Anatomical Pathology Faculty of Medicine, University Andalas
** Department of Public Health Faculty of Medicine Unand

Friday, March 1, 2013

Principles of Incision

Principles of Incision
  (Maingot's Abdominal Operations > Chapter 4. Incisions, Closures, and Management of the Abdominal Wound)

Incision and closure of the wound:
1. Accessibility
2. Flexibility
3. Security