| Autor: |
Murthy, Samskruthi P., Balasubramanian, Deepak, Subramaniam, Narayana, Nair, Gopalakrishnan, Babu, Misha J. C., Rathod, Priyank V., Thankappan, Krishnakumar, Iyer, Subramania, Vijayan, Smitha Nalumackal, Prasad, Chaya, Nair, Vasantha |
| Předmět: |
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| Zdroj: |
Head & Neck; Jun2018, Vol. 40 Issue 6, p1214-1218, 5p |
| Abstrakt: |
Abstract: Background: The American Thyroid Association (ATA) recommends thyroid lobectomy for 1 to 4 cm tumors without adverse features. We studied the prevalence of adverse pathological features in patients eligible for unilateral lobectomy. Methods: We conducted a retrospective study of patients who underwent total thyroidectomy. Patients with differentiated thyroid cancer (DTC) with tumors measuring 1 to 4 cm with no known preoperative adverse features were included in this study. Patients with nodal and distant metastasis, tumors <1 cm to > 4 cm, age < 17 years old, and gross extrathyroidal extension were excluded. Patients with bilateral nodularity on imaging were excluded from the final analysis on adverse features. Results: There were 59.1% of patients undergoing thyroidectomy with tumors measuring 1 to 4 cm and no preoperatively known adverse features who were eligible for lobectomy under current ATA guidelines who would have needed a completion thyroidectomy after pathological analysis of the index tumor. Conclusion: Two thirds of the patients may require a completion thyroidectomy if unilateral lobectomy is done in tumors measuring 1 to 4 cm based on adverse pathological features. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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