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Related Experiment Videos

[Re-operation for thyroid carcinoma].

Zhen-dong Li1, Hui-lei Dong, Shu-chun Li

  • 1Department of Head and Neck, Liao Ning Tumour Hospital, Shenyang 110042, China. zhdl_03@yahoo.com.cn

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi = Chinese Journal of Otorhinolaryngology Head and Neck Surgery
|January 18, 2006
PubMed
Summary

Re-operation after initial thyroidectomy for thyroid carcinoma is often necessary, as residual cancer rates are high. This study highlights the importance of carefully selected re-operations for improved patient outcomes.

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Area of Science:

  • Endocrinology
  • Surgical Oncology
  • Oncology

Context:

  • Thyroid carcinoma management often involves initial surgery.
  • Re-operation may be required for residual or recurrent disease.
  • Evaluating the outcomes of completion thyroidectomy is crucial for treatment refinement.

Purpose:

  • To assess the efficacy and outcomes of re-operation (completion thyroidectomy) in patients with thyroid carcinoma.
  • To determine the rates of residual carcinoma and lymph node metastasis following initial thyroid surgery.
  • To analyze complications and survival rates associated with re-operative thyroidectomy.

Summary:

  • A retrospective review of 268 patients undergoing completion thyroidectomy for thyroid carcinoma was conducted.
  • Results showed a significant rate of residual carcinoma (29.1%) and lymph node metastasis (48.5%).

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  • Low rates of recurrent laryngeal nerve injury were observed, with favorable 5- and 10-year survival rates.

    • Impact:

    • The high incidence of residual thyroid carcinoma underscores the necessity of re-operations in selected cases.
    • Findings support the role of completion thyroidectomy in achieving better disease control for thyroid cancer patients.
    • This study provides valuable data for surgical decision-making and patient counseling in thyroid cancer management.