Review of survival rates 20-years after conservative surgery for papillary thyroid carcinoma

Revista Brasileira de Otorrinolaringologia

Curioni, Otávio Alberto¹  Amar, Ali²  Rapoport, Abrão³ 

[1] Hospital Heliópolis, São Paulo, BR;Lusíada Foundation, São Paulo, BR;Universidade de São Paulo, São Paulo, BR

关键词: Thyroidectomy;    Thyroid neoplasms;    Thyroid gland;    Papillary carcinoma.;   

DOI  :  10.1016/j.bjorl.2014.08.020

学科分类：医学（综合）

来源: Associacao Brasileira de Otorrinolaringologia e Cirurgia Cervicofacial

【 摘 要 】

INTRODUCTION: A less extensive thyroidectomy could be used for patients in the low risk group.OBJECTIVE: To perform a critical follow-up after lobectomy with isthmusectomy for the treatment of papillary thyroid carcinoma in patients with a single nodule limited to the periphery of the lobe.METHODS: Thirty-one patients with thyroid papillary carcinoma operated on till 1993 were selected. They had undergone lobectomy with isthmusectomy. This is a retrospective cohort study in which the oncological outcome (contralateral and regional recurrence) and the reoperation complications (recurrent nerve paralysis/paresis and hypoparathyroidism) were evaluated. Descriptive analysis was employed.RESULTS: In the last decade (2003-2013), 6 (20%) contralateral recurrences were observed in the remaining lobe and in 1 of these cases (3%), contralateral lymph node metastases were noted. A completion thyroidectomy plus lymphadenectomy was performed, without modification of global survival.CONCLUSION: Because of the rate of 20% of contralateral recurrence after a 20-year follow-up, we suggest modification of the surgical paradigm for total thyroidectomy as an initial therapy.

【 授权许可】

CC BY