Thyroidectomy as Treatment of Choice for Differentiated Thyroid Cancer
Joint Authors
Regalbuto, Concetto
Forte, Stefano
Giuffrida, Raffaella
Memeo, Lorenzo
Giuffrida, Dario
Puliafito, Ivana
Vella, Veronica
Puglisi, Caterina
Belfiore, Antonino
Pellegriti, Gabriella
Source
International Journal of Surgical Oncology
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-10-13
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Background.
Despite a large amount of data, the optimal surgical management of differentiated thyroid cancer remains controversial.
Current guidelines recommend total thyroidectomy if primary thyroid cancer is >4 cm, while for tumors that are between 1 and 4 cm in size, either a bilateral or a unilateral thyroidectomy may be appropriate as surgical treatment.
In general, total thyroidectomy would seem to be preferable because subtotal resection can be correlated with a higher risk of local recurrences and cervical lymph node metastases; on the other hand, total thyroidectomy is associated with more complications.
Methods.
This is a retrospective study conducted on 359 patients with differentiated thyroid cancer, subjected to total thyroidectomy.
Our aim was to correlate clinical and pathological features (extrathyroid tumor growth, bilaterality, nodal and distant metastasis) with patient (gender and age) and tumor (size and histotype) characteristics.
Moreover, we recorded postoperative complications, including hypoparathyroidism and laryngeal nerve damage.
Results.
In our study, we found a high occurrence of pathological features indicating cancer aggressiveness (bilaterality, nodal metastases, and extrathyroid invasion).
On the other hand, total thyroidectomy was associated with relatively low postsurgical complication rates.
Conclusions.
Our data support the view that total thyroidectomy remains the first choice for the routine treatment of differentiated thyroid cancer.
American Psychological Association (APA)
Giuffrida, Dario& Giuffrida, Raffaella& Puliafito, Ivana& Vella, Veronica& Memeo, Lorenzo& Puglisi, Caterina…[et al.]. 2019. Thyroidectomy as Treatment of Choice for Differentiated Thyroid Cancer. International Journal of Surgical Oncology،Vol. 2019, no. 2019, pp.1-7.
https://search.emarefa.net/detail/BIM-1168649
Modern Language Association (MLA)
Giuffrida, Dario…[et al.]. Thyroidectomy as Treatment of Choice for Differentiated Thyroid Cancer. International Journal of Surgical Oncology No. 2019 (2019), pp.1-7.
https://search.emarefa.net/detail/BIM-1168649
American Medical Association (AMA)
Giuffrida, Dario& Giuffrida, Raffaella& Puliafito, Ivana& Vella, Veronica& Memeo, Lorenzo& Puglisi, Caterina…[et al.]. Thyroidectomy as Treatment of Choice for Differentiated Thyroid Cancer. International Journal of Surgical Oncology. 2019. Vol. 2019, no. 2019, pp.1-7.
https://search.emarefa.net/detail/BIM-1168649
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1168649