Defi nitive anatomopathological fi ndings in thyroidectomized patients with preoperative diagnosis of follicular neoplasm Background: The fi nding of follicular neoplasm, using a FNAP, is an indication for partial or total thyroidectomy, to obtain the defi nitive malignant or benign histology. Frequently, it is possible to identify signifi cant additional histological diagnosis. Aim: To obtain the defi nitive histological fi ndings in patients with follicular neoplasm by FNAP. Patients and Method: Transversal analysis of 133 patients that underwent to total thyroidectomy between 2003 and 2009, that fi lled de requirements for adequate histological assessment. Results: In 33.1% of the treated patients the fi nal diagnosis was indeed a follicular neoplasm (adenoma in 26.3% and cancer in 6.8%). In the 51.9% the fi nding was follicular colloidal hyperplasia and other thyroid cancer in 8.3%. The total malignant prevalence in the whole gland was 29.3%. Conclusions: The thyroidectomy is the treatment of choice and the fi nal diagnostic procedure for these patients. The histological fi ndings of cancer different from follicular not only in the punctioned nodule are a secondary and an additional argument for reinforcing the surgical indication.

incidence of sympthomatic salivary disease in patients with differentiated thyroid cancer treated with radioactive iodine Background: The radioactive iodine therapy for differentiated thyroid cancer can produce severe and frequent salivary symptoms, during the treatment or later. aim: To analyze the incidence, severity and charactheristics of the salivary signs and symptoms in these patients. Patients and Method: Retrospective and descriptive analisis of 106 patients with confirmed diagnosis of differentiated thyroid cancer, treated with surgery and radioactive iodine, that completed a telephonic survey for the evaluation of salivary symptoms. results: 26 (24.52%) patients presented with salivary symptoms or signs after the radioactive iodine therapy (mean 5 months). The average doses of I 131 was 128,5 mCi. Xerostomy, pain, xeroftalmy, inflammation, sialoadenitis and dysgeusia, were the most frequent clinical symptoms. conclusions: After radioactive iodine therapy the salivary symptoms and signs incidence is high. We conclude that the indication for this treatment must be selective, but in accordance with the oncological risk of each patient.

Thyroidectomy dysphoniaBackground: Dysphonia is one of the most important and frecuent complication in thyroidectomies. It incidence is between 0 and 20%. The frecuency of this complication depends on factors like the preoperatory diagnosis, goitre volume, surgeon experience and other general factors that theoretically can affect it incidence. Aim: To evaluate a group of preoperatory risk factors usually not considerated that may have relevance in postoperatory dysphonia in thyroidectomies. Patients and Method: Survey and medical records of 56 patients operated between may and july 2009. Results: None of the risk factors included in this study increase de incidence of posthiroidectomy dysphonia. Conclusions: It seems that these theorical risk factors don´t have a great infl uence in the incidence of dysphonia after a thyroidectomy. It can be eventually useful to submit these patients to a direct vocal cord evaluation before surgery, to obtain their real risk.Key words: Thyroidectomy, dysphonia. ResumenIntroducción: La disfonía es una de las complicaciones en tiroidectomías más importante y frecuente. Su incidencia varía entre 0 y 20%. Esta incidencia depende de factores como el tipo de diagnóstico preoperatorio, el volumen del bocio, la experiencia del cirujano y otros factores generales que pueden teóricamente infl uir. Objetivo: Evaluar un grupo no habitualmente considerado de factores de riesgo de disfonía en tiroidectomías. Pacientes y Métodos: Estudio prospectivo con análisis de fi chas clínicas y realización de una encuesta preoperatoria en 56 pacientes consecutivos. Resultados: En este estudio no fue demostrado estadísticamente un mayor riesgo de disfonía en pacientes con los factores de riesgos planteados. Conclusiones: Aunque los factores estudiados en esta muestra pueden teóricamente aumentar la incidencia de disfonía postiroidectomía, parecen no ser los más infl uyentes. Podría ser de utilidad realizar una evaluación dirigida otorrinolaringológica en estos pacientes para objetivar su real riesgo de disfonía postoperatoria.