Abstract
The clinical outcome in 155 patients with papillary or follicular carcinoma of the thyroid gland operated on over a 25-year period demonstrated no difference in survival rates or incidence of recurrent tumor between those treated by total thyroidectomy and those undergoing less than total thyroidectomy. However, the complication rate was statistically significantly higher in those undergoing total thyroidectomy. Partial thyroidectomy with lobectomy on the side of the tumor, resection of the thyroid isthmus, and simple excision of enlarged cervical lymph nodes, if present, appears to be equally effective and safer.
Full text
PDF
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Attie J. N., Moskowitz G. W., Margouleff D., Levy L. M. Feasibility of total thyroidectomy in the treatment of thyroid carcinoma: postoperative radioactive iodine evaluation of 140 cases. Am J Surg. 1979 Oct;138(4):555–560. doi: 10.1016/0002-9610(79)90418-5. [DOI] [PubMed] [Google Scholar]
- CLARK R. L., Jr, WHITE E. C., RUSSELL W. O. Total thyroidectomy for cancer of the thyroid: significance of intraglandular dissemination. Ann Surg. 1959 Jun;149(6):858–866. doi: 10.1097/00000658-195906000-00009. [DOI] [PMC free article] [PubMed] [Google Scholar]
- RUSSELL W. O., IBANEZ M. L., CLARK R. L., WHITE E. C. THYROID CARCINOMA. CLASSIFICATION, INTRAGLANDULAR DISSEMINATION, AND CLINICOPATHOLOGICAL STUDY BASED UPON WHOLE ORGAN SECTIONS OF 80 GLANDS. Cancer. 1963 Nov;16:1425–1460. doi: 10.1002/1097-0142(196311)16:11<1425::aid-cncr2820161106>3.0.co;2-e. [DOI] [PubMed] [Google Scholar]
- Thompson N. W., Harness J. K. Complications of total thyroidectomy for carcinoma. Surg Gynecol Obstet. 1970 Nov;131(5):861–868. [PubMed] [Google Scholar]
- Tollefsen H. R., Shah J. P., Huvos A. G. Papillary carcinoma of the thyroid. Recurrence in the thyroid gland after initial surgical treatment. Am J Surg. 1972 Oct;124(4):468–472. doi: 10.1016/0002-9610(72)90068-2. [DOI] [PubMed] [Google Scholar]