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[Thyroid cancers: the Geneva experience].

F Triponez1, S Simon, J Robert

  • 1Clinique de chirurgie thoracique, département de chirurgie, hôpitaux universitaires de Genève, rue Micheli-du-Crest 24, 1211 Genève 14, Suisse. frederic.triponez@hcuge.ch

Annales De Chirurgie
|January 24, 2002
PubMed
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Thyroid cancer generally has a good prognosis, with high survival rates even after 15 years. However, aggressive surgery like radical neck dissection may not be justified for most thyroid cancer patients.

Area of Science:

  • Oncology
  • Surgical Oncology
  • Endocrinology

Background:

  • Thyroid cancer survival rates and treatment efficacy are crucial for patient outcomes.
  • Understanding long-term survival trends informs clinical decision-making and surgical approaches.

Purpose of the Study:

  • To analyze the survival rates of patients who underwent thyroid cancer surgery between 1978 and 1999.
  • To evaluate the impact of different thyroid cancer subtypes on patient survival.

Main Methods:

  • A retrospective analysis of 218 patients with thyroid carcinoma operated on between 1978 and 1999.
  • TNM classification (1997) was used for cancer staging; survival data were sourced from the Geneva Tumour Registry.
  • Modified neck dissection was selectively performed for suspected lymph node involvement.

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Main Results:

  • Overall 5, 10, and 15-year survival rates were 88%, 84%, and 80%, respectively.
  • Papillary thyroid carcinoma demonstrated excellent survival (99% at 5 years, 97% at 10 years), despite a 20% recurrence rate.
  • Follicular carcinoma showed 83% 5-year and 75% 10-year survival; undifferentiated carcinoma had a median survival of 56 days. Medullary carcinoma had no deaths in this series.

Conclusions:

  • Thyroid carcinoma, excluding undifferentiated types, carries a favorable prognosis.
  • Aggressive surgical interventions like radical neck dissection may not be warranted for all thyroid cancer cases initially.
  • The study highlights the importance of tailored surgical strategies based on cancer subtype and prognosis.