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Transoral Robotic Total Thyroidectomy and Bilateral Central Regional Lymph Node Dissection for Papillary Thyroid Carcinoma
Published on: September 15, 2023
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Incidental papillary thyroid microcarcinomas in thyroidectomy specimens: A single-center experience from Turkey
Fatma Senel1, Hatice Karaman1, Aynur Aytekin2
1Department of Pathology, Nose and Throat, Kayseri City Training and Research Hospital, Kayseri, Turkey.
Indian Journal of Pathology & Microbiology
|April 12, 2019
Summary
Incidental papillary thyroid microcarcinoma (IPTM) was found in 8.01% of thyroidectomy patients. Total thyroidectomy is recommended due to high rates of multifocality and bilaterality, with good long-term prognosis.
Area of Science:
- Endocrinology
- Oncology
- Pathology
Background:
- Papillary thyroid microcarcinoma (PTM) is common and often found incidentally during thyroid surgery for benign conditions.
- Asymptomatic PTM may be overlooked in preoperative fine needle aspiration cytology.
Purpose of the Study:
- To determine the incidence of incidental papillary thyroid microcarcinomas (IPTMs).
- To analyze the clinicopathologic characteristics of IPTMs.
- To report institutional experience with IPTM management.
Main Methods:
- Retrospective analysis of 827 patients undergoing thyroidectomy between January 2013 and June 2017.
- Detailed histopathological examination of thyroidectomy specimens.
- Review of patient demographics, preoperative diagnoses, surgical procedures, and outcomes.
Main Results:
- IPTM was diagnosed in 8.01% of patients; 16.6% of all malignancies found.
- High rates of multifocality (23.3%) and bilaterality (13.3%) were observed in IPTM.
- Total thyroidectomy was performed in 98.3% of IPTM cases, with no reported relapse or metastasis.
Conclusions:
- Incidental papillary thyroid microcarcinoma requires careful histopathological evaluation of thyroidectomy specimens.
- High rates of multifocality and bilaterality support total thyroidectomy for IPTM.
- IPTM demonstrates a favorable long-term prognosis.
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