WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

*Mustafa A. Majeed and Ameer D. Hummaidi

ABSTRACT

Background: Papillary thyroid microcarcinoma (PTMC) is defined as a subtype of papillary thyroid carcinoma(PTC), distinguished by its small size, usually measuring less than 1 cm in its largest diameter. Although PTMCtypically exhibits a slow growth rate with a low propensity for metastasis, leading to an overall good prognosis.aim of study is to study the clinicopatholgical features of papillary micro carcinoma in Iraqi patients. Method:Cross-sectional research of 98 thyroid cancer patients in Baghdad-medical city from March 1 to September 1,2023. All patients examined: Age (years), Gender, Negative or positive metastasis, capsular invasion, vascularinvasion, multifocality Evaluation criteria include extra thyroidal expansion, perineural invasion, tumour size (≤5or >5), and tumour location (Isthmus, Left, Right). Results: In a study of papillary thyroid microcarcinomapatients, the mean age was 41.5 years, with a predominant female representation (87.8%), and most tumors were≤5 mm in size. There were no significant associations between capsular invasion, vascular invasion, extrathyroidal extension, perineural invasion, and patient demographics or tumor characteristics. However,multifocality was significantly associated with larger tumor sizes (>5 mm) but not with increased metastasis,suggesting a complex pathology independent of traditional clinical factors. Conclusion: In a study of 98 thyroidcancer patients, predominantly female (87.8%) with a mean age of 41.5, most tumors were small (≤5 mm) andnon-aggressive, lacking metastasis and invasive features. Multifocality correlated with larger tumor sizes but notincreased metastasis, indicating a nuanced pathology not directly linked to traditional demographic or clinicalfactors.

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