الملخص

Background: Thyroid disease is a common indication for surgery, and histopathology remains the definitive method for diagnosis. This study described the pattern of thyroid diseases.

Methods: retrospective descriptive-analytical study was conducted in three main hospitals of Taiz City Al-Dakaf, Al-Gomhouri Teaching and Al-Safwa) covering January 2023 to December 2024. Records of 250 patients who underwent thyroidectomy

Results: Females comprised 92.4% of patients, with a median age of 40 years. Multinodular goiter was the most frequent benign lesion (46.0%) while malignancy was identified in 39 patients (15.6%), papillary-patterned carcinoma accounted for 92.3% of malignant tumors. Hoarseness, weight loss, appetite loss, cervical lymphadenopathy, suspicious ultrasound and FNA findings, higher TI-RADS categories

Conclusion: Approximately one in six thyroidectomy specimens was malignant. Clinical warning symptoms combined with ultrasound findings improved preoperative risk stratification and may support earlier diagnosis and appropriate surgical management in resource-limited settings.