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[Indications for the repeat operations in thyroid gland cancer]
Voprosy Onkologii
|January 1, 1978
Summary
Reoperations for thyroid tumors are often necessary due to inadequate initial surgical treatment. Proper oncological principles and thorough examination are crucial for successful thyroid cancer management and to reduce reoperation rates.
Area of Science:
- Oncology
- Surgical Oncology
Background:
- Thyroid tumors require careful surgical management.
- A significant percentage of patients undergo reoperations for thyroid tumors.
Purpose of the Study:
- To analyze the causes and indications for reoperations in thyroid cancer patients.
- To evaluate the effectiveness of surgical strategies for reoperations.
Main Methods:
- Retrospective analysis of 1417 thyroid tumor patients operated between 1962-1977.
- Detailed review of reoperation cases (198 patients).
- Analysis of primary surgical treatment failures and diagnostic findings.
Main Results:
- 13.9% of patients required reoperations for thyroid tumors.
- Reoperations were frequently necessitated by violations of oncological principles in initial surgeries.
- Inadequate primary operations and residual tumors in the thyroid or lymph nodes were key indications.
Conclusions:
- Adherence to oncological principles in initial thyroid cancer surgery is paramount.
- Reoperations are indicated for inadequate primary procedures, residual disease, and based on thyroid scanning.
- Extrafascial subtotal or total thyroidectomy with regional lymph node assessment is the preferred reoperation strategy.