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Related Experiment Video

Updated: May 8, 2026

Transoral Robotic Total Thyroidectomy and Bilateral Central Regional Lymph Node Dissection for Papillary Thyroid Carcinoma
04:01

Transoral Robotic Total Thyroidectomy and Bilateral Central Regional Lymph Node Dissection for Papillary Thyroid Carcinoma

Published on: September 15, 2023

Incidental papillary thyroid microcarcinoma: is completion surgery required?

V Muntean1, I Domsa, A Zolog

  • 1Department of Surgery, Iuliu Hatieganu University of Medicine, Cluj-Napoca, Romania. valentin-muntean@gmail.com

Chirurgia (Bucharest, Romania : 1990)
|August 21, 2013
PubMed
Summary

Completion surgery for incidentally found papillary microcarcinoma (PMC) in thyroid glands removed for benign conditions does not significantly increase cancer-related morbidity. This finding aids in managing incidental PMC cases, optimizing patient outcomes.

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Area of Science:

  • Endocrinology
  • Surgical Oncology
  • Pathology

Background:

  • Papillary microcarcinoma (PMC) incidentally found in thyroids operated for benign conditions presents management challenges.
  • Indications for completion surgery in these cases remain debated.

Purpose of the Study:

  • To evaluate the impact of initial and completion surgery on pathological features related to local recurrence and cancer-specific mortality in incidental PMC.
  • To clarify the role of completion surgery in managing incidentally discovered papillary microcarcinoma.

Main Methods:

  • Retrospective, transversal cohort study involving 187 incidental PMCs in 2168 patients.
  • Analysis of pathological features and outcomes based on initial thyroidectomy extent and subsequent completion surgery.

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Last Updated: May 8, 2026

Transoral Robotic Total Thyroidectomy and Bilateral Central Regional Lymph Node Dissection for Papillary Thyroid Carcinoma
04:01

Transoral Robotic Total Thyroidectomy and Bilateral Central Regional Lymph Node Dissection for Papillary Thyroid Carcinoma

Published on: September 15, 2023

"Sun's Seven-Step Technique" for Endoscopic En-Bloc Resection of Thyroid Cancer via the Chest-Breast Approach
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"Sun's Seven-Step Technique" for Endoscopic En-Bloc Resection of Thyroid Cancer via the Chest-Breast Approach

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Main Results:

  • Completion surgery in patients with less than total thyroidectomy did not significantly increase tumor size, number, multifocality, bilaterality, invasion, or nodal metastases.
  • Lymphadenectomy in patients with prior near-total/total thyroidectomy showed a significant increase in pathologically node-positive cases (p=0.01).
  • No significant difference in postoperative complications between groups.

Conclusions:

  • Completion surgery for incidental PMC (1-5 mm, no extrathyroidal extension) after less than total thyroidectomy is not associated with increased cancer-related morbidity or mortality.
  • These findings support a conservative approach in select incidental PMC cases.