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[Second hemithyroidectomy for thyroid carcinoma. Our experience].

G Pardo Romero1, V Pino Rivero, G Trinidad Ruíz

  • 1Complejo Hospitalario Infanta Cristina, Badajoz. hicorl@hotmail.com

Acta Otorrinolaringologica Espanola
|October 6, 2004
PubMed
Summary

Thyroid carcinoma incidentally found during surgery requires completion to total thyroidectomy. This reintervention strategy ensures oncological safety and better patient management for diagnosed thyroid cancer.

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Area of Science:

  • Endocrinology
  • Surgical Oncology
  • Pathology

Context:

  • Incidental thyroid carcinomas are frequently discovered during thyroidectomies initially performed for benign conditions.
  • Partial thyroidectomy for presumed benign pathology can lead to dilemmas regarding completion thyroidectomy upon definitive malignant diagnosis.

Purpose:

  • To evaluate the outcomes of reinterventions for thyroid carcinoma diagnosed after initial surgery for presumed benign thyroid pathology.
  • To assess the incidence of malignancy in patients undergoing completion thyroidectomy after initial hemithyroidectomy.

Summary:

  • This study reports a 12-year experience with 18 female patients (average age 45) who underwent completion thyroidectomy due to incidental thyroid carcinoma findings.
  • Initial surgeries were for presumed benign conditions, with subsequent anatomopathological (AP) studies revealing malignancy.

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  • The incidence of malignancy in this series after the second intervention was 40%.

    • Impact:

    • The findings support performing total thyroidectomy upon incidental thyroid carcinoma diagnosis to ensure oncological safety.
    • This approach facilitates better patient management and reduces the need for reinterventions in thyroid cancer cases.