Immediate Surgery Might Be a Better Option for Subcapsular Thyroid Microcarcinomas
Joint Authors
Source
International Journal of Endocrinology
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-04-03
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
For high-risk papillary thyroid microcarcinomas (PTMCs), immediate surgery is recommended.
This study aimed to evaluate the location of PTMCs in the thyroid lobe and determine whether location is associated with an aggressive biology and the necessity of immediate surgery.
This retrospective study included 288 patients who underwent initial surgery for PTMC.
Clinical data were extracted.
Subcapsular thyroid microcarcinomas (STMs) and nonsubcapsular thyroid microcarcinomas (NSTMs), distinguished by ultrasound, were compared in terms of tumour size, extrathyroidal extension, cervical lymph node metastasis, and multifocality.
The preoperative ultrasound features predictive of recurrent laryngeal nerve (RLN) involvement were assessed.
There were no statistical differences in tumour size (P = 0.985), multifocality (P = 0.866), lymph node metastases to the central compartment (P = 0.154), or lateral lymph node metastases (P = 0.929) between STM and NSTM groups.
Macroscopic extrathyroidal extension was exclusively found in the STM group.
For assessing RLN involvement, the sensitivity, specificity, and positive predictive value of the presence of an abnormal thyroid capsule margin between the STM and the presumed RLN course, assessed on preoperative ultrasonography images, were 100%, 43.3%, and 43.3%, respectively.
Immediate surgery appears to be a better option than conservative treatment for these high-risk STM patients.
American Psychological Association (APA)
Jiang, Jun& Lu, Hui. 2019. Immediate Surgery Might Be a Better Option for Subcapsular Thyroid Microcarcinomas. International Journal of Endocrinology،Vol. 2019, no. 2019, pp.1-6.
https://search.emarefa.net/detail/BIM-1159474
Modern Language Association (MLA)
Jiang, Jun& Lu, Hui. Immediate Surgery Might Be a Better Option for Subcapsular Thyroid Microcarcinomas. International Journal of Endocrinology No. 2019 (2019), pp.1-6.
https://search.emarefa.net/detail/BIM-1159474
American Medical Association (AMA)
Jiang, Jun& Lu, Hui. Immediate Surgery Might Be a Better Option for Subcapsular Thyroid Microcarcinomas. International Journal of Endocrinology. 2019. Vol. 2019, no. 2019, pp.1-6.
https://search.emarefa.net/detail/BIM-1159474
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1159474