ISSN: 2167-7948
+44 1300 500008
Marcin Barczyński
Third Chair of General Surgery,
37 Pradnicka Street, 31-202 Kraków
Poland
Editorial
Completion Thyroidectomy for Well-differentiated Thyroid Cancer
Author(s): Marcin BarczyÃ
ÂskiMarcin BarczyÅski
Completion thyroidectomy should be offered to those patients for whom a near-total or total thyroidectomy would have been recommended had the diagnosis been available before the initial surgery. This includes all patients with thyroid cancer except those with small (<1 cm), unifocal, intrathyroidal, node-negative, low-risk tumors. Therapeutic central neck lymph node dissection should be included if the lymph nodes are clinically involved. Ablation of the remaining lobe with radioactive iodine has been used as an alternative to completion thyroidectomy. It is unknown whether this approach results in similar long-term outcomes. Consequently, routine radioactive iodine ablation in lieu of completion thyroidectomy is not recommended.
Although reoperative thyroid surgery carries a higher risk of operative complications than initial thyroid surgery, experience has demonstrated th.. View More»
DOI:
10.4172/2167-7948.1000e101