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Updated: Jul 19, 2026
04:01
Transoral Robotic Total Thyroidectomy and Bilateral Central Regional Lymph Node Dissection for Papillary Thyroid Carcinoma
Published on: September 15, 2023
[Completion total thyroidectomy in children with differentiated thyroid cancer]
Daria Handkiewicz-Junak1, Jan Włoch, Agnieszka Czarniecka
1Nuclear Medicine and Endocrine Oncology Department, Maria Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Gliwice Branch, Gliwice. dhandkiewicz@io.gliwice.pl
Endokrynologia Polska
|September 29, 2006
Summary
Completion surgery is often necessary for children with differentiated thyroid cancer, as about one-third have residual disease after initial non-radical operations. Papillary cancer, multifocal tumors, and lymph node metastases increase this risk.
Area of Science:
- Pediatric Oncology
- Surgical Oncology
- Endocrinology
Context:
- Differentiated thyroid cancer in children requires optimal surgical strategies.
- The necessity of completion surgery after initial non-radical operations is debated.
- Residual disease rates after initial surgery in pediatric patients are not well-established.
Purpose:
- To determine the incidence of residual neoplastic disease in children with differentiated thyroid cancer following incomplete primary surgery.
- To identify risk factors associated with residual disease in pediatric differentiated thyroid cancer.
Summary:
- A study of 235 children with differentiated thyroid cancer found that 131 (56%) required completion surgery due to incomplete initial operations.
- Residual disease was detected in 46 (35%) of these reoperated children, primarily in the thyroid bed (25%) and lymph nodes (85%).
- Risk factors for residual disease included papillary thyroid cancer, multifocal tumors, and lymph node metastases in the initial operation.
Impact:
- The high rate of residual disease (35%) supports the routine use of completion surgery in pediatric differentiated thyroid cancer.
- Identifying specific risk factors aids in tailoring surgical and follow-up strategies for affected children.
- This research contributes to optimizing treatment protocols for pediatric thyroid cancer, potentially improving patient outcomes.
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