%0 Journal Article %T Carcinoma papilar qu赤stico y del tiroides: Estudio de 4 casos Tryroid cyst papillary carcinoma: Study of four cases %A Adalberto Infante Amor車s %A Ana del Carmen Arg邦elles Zayas %A Ram車n Gonz芍lez Fern芍ndez %A David Cubero Rego %J Revista Cubana de Medicina %D 2004 %I ECIMED %X Se presentaron 4 casos de carcinoma papilar qu赤stico en el per赤odo de 4 a os. Se realiz車 examen f赤sico de todos los casos; se encontr車 una masa cervical firme en la cara anterior del cuello y en 2 de ellos, se palparon adenopat赤as cervicales. Se aplicaron t谷cnicas de imagen (ecograf赤a cervical y gammagraf赤a tiroidea); se complet車 el estudio con BAAF, que tuvo valor diagn車stico en el 75 % de los casos. Se realiz車 un estudio anatomopatol車gico de todas las piezas obtenidas. Se hizo la resecci車n del quiste, biopsia intraoperatoria y si se confirm車 el diagn車stico de carcinoma papilar qu赤stico, se le realiz車 una tiroidectom赤a total y si fue necesario, linfadenectom赤a. Se complet車 el tratamiento con I131 a dosis ablativa y tratamiento hormonal supresor de la TSH. Se destac車 el papel de la BAAF en el estudio preoperatorio. 4 cases of cyst papillary carcinoma in a period of 4 years were presented. All of them underwent physical examination. A firm cervical mass was found in the anterior side of the neck and cervical adenopathies were palpated in 2 of them. Imaging techniques (cervical echography and thyroid gammagram) were applied. The study was completed with FNAB, which had a diagnostic value in 75 % of the cases. An anatomopathological study of all the pieces obtained was conducted. Resection of the cyst and intraoperatory biopsy were performed. In those cases with confirmed diagnosis of cyst papillary carcinoma, total thyroidectomy was carried out and, if necessary, lymphadenectomy. The treatment was concluded with I131 at ablative doses and TSH -supressing hormonal treatment. The role of FNAB in the preoperative study was stressed. %K Carcinoma papilar %K quiste tiroideo %K BAAF %K tiroidectom赤a total %K linfadenectom赤a cervical %K Papillary carcinoma %K thyroid cyst %K FNAB %K total thyroidectomy %K cervical lymphadenectomy %U http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-75232004000200011