Title:
Total thyroidectomy: safe and adequate treatment for papillary microcarcinoma of the thyroid gland
Authors:
B. Uhliarova and A. Hajtman
Institutions:
Department Of Otorhinolaryngology, Head and Neck Surgery, Comenius University, Jessenius Faculty of Medicine, University Hospital, Martin, Slovakia; Department of Otorhinolaryngology, FD Roosevelt Faculty Hospital, Banska Bystrica, Slovakia
Keywords:
Papillary microcarcinoma; thyroid gland; total thyroidectomy
Pages:
119 - 124
Abstract:
Total thyroidectomy: safe and adequate treatment for papillary microcarcinoma of the thyroid gland. Objective: The purpose of this study was to evaluate the incidence of and surgical approach in patients with papillary thyroid microcarcinoma (PTMC; thyroid cancer ≤10 mm) when these patients underwent surgery for presumed benign thyroid conditions. Material and methods: Between January 2006 and December 2013, 1460 adult patients underwent partial or total thyroidectomy for presumed benign thyroid conditions in the Department of Otorhinolaryngology, Head and Neck Surgery,ComeniusUniversity,JesseniusFacultyofMedicine,UniversityHospitalinMartin,Slovakia.Ofthispopulation, 78 patients with incidental PTMC were further studied. Results:Incidentalpapillarymicrocarcinomawasmorefrequentlydetectedinpatientswithmultinodulargoitre(P=0.034) or Hashimoto’s thyroiditis (P=0.0013) than in patients with other thyroid diseases. Multifocal and bilateral occurance of PTMC was identified in 26% and 18% of patients, respectively. The initial surgical procedure was hemithyroidectomy in 23% of patients. All patients initially treated with hemithyroidectomy underwent completion thyroidectomy 10-32 days (median 19±7 days) after initial surgery. There were no significant differences in postoperative complications (recurrent laryngeal nerve injury, hypoparathyroidism) between patients with hemithyroidectomy and patients with total thyroidectomyatthefirstoperation(P=0.647).Completionsurgeryinpatientswithhemithyroidectomywasnotfollowed by a significant increase in the incidence of complications (P=0.228). Conclusion: Incidental PTMC is more often detected in patients that undergo surgery for multinodular goitre and Hashimoto’s thyroiditis. Total thyroidectomy constitutes a safe and adequate surgical approach in patients with PTMC.
Issue:
Vol. 12, 2016, 2nd trimester


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Total thyroidectomy: safe and adequate treatment for papillary microcarcinoma of the thyroid gland