Demographic Data and Risk Factors of Thyroid Cancer in ENT Department Chumphon Khet Udomsakdi Hospital

Abstract

Background: Thyroid cancer is the most common endocrine cancer worldwide, and its incidence is increasing every year. Fortunately, this cancer often has a good prognosis, and patients can be cured if diagnosed and treated promptly.

Objective: To study the demographic data and risk factors associated with thyroid cancer in patients admitted to the Otolaryngology Department, Chumphon Khet Udomsakdi Hospital

Materials and Methods: It is a retrospective cohort study by collecting data from the HosXp system of patients with thyroid nodules who received inpatient treatment at the Otolaryngology Department, Chumphon Khet Udomsakdi Hospital, from January 1, 2020 - December 31, 2023.

Results: From the data collection of 264 patients, 22 males and 242 females, the mean age was 46 years, the biopsy result was not thyroid cancer in 191 cases (72.73%) and thyroid cancer in 73 cases (27.27%). The most common thyroid cancer was Papillary thyroid carcinoma in 61 cases (83.56%). From the study of risk factors for thyroid cancer, it was found that ultrasonography suspicious for cancer (Adj OR = 20.687 95% CI = 5.510-77.678, p = <0.001) and fine needle aspiration suspicious for cancer (Adj OR = 18.649 95% CI = 4.9-70.982, p = <0.001).

Conclusions: The prevalence of thyroid cancer patients admitted to the Otolaryngology Department, Chumphon Khet Udomsakdi Hospital was 27.65 %. Ultrasonography suspicious for cancer and fine needle aspiration suspicious for cancer are significant predictors of thyroid cancer risk and should be treated promptly.