Surgery of differentiated thyroid carcinoma, lymph node metastases and locoregional recurrence

G. Ardito, Luca Revelli, F. Tosti, P. Modugno, O. Giacinto, B. Praquin, Francesco Ardito, F. Moschella

Risultato della ricerca: Contributo in rivistaArticolo in rivistapeer review

Abstract

Surgery of differentiated thyroid carcinoma is burdened with risk factors that significantly impact on prognosis, as age at diagnosis and tumor stage. Problems involved concern the extent of surgical resection and the indication for regional lymphadenectomy. As for the former, the most popular approach is total thyroidectomy "on principle" with neck lymphadenectomy. Lobectomy may represent an alternative to total thyroidectomy in low risk patients with unifocal papillary carcinoma 1 cm or less in size, or minimally invasive follicular carcinoma. As for lymphadenectomy, most authors do not agree with surgery "on principle" but rather "of necessity", that is, in presence of clinically evident lymphadenopathy and neck lymphadenectomy is the preferred surgical strategy. In most cases surgery is the treatment of choice of locoregional recurrence. Careful preoperative work-up and accurate surgical procedure are mandatory.
Titolo tradotto del contributo[Autom. eng. transl.] Surgery of differentiated thyroid carcinoma, lymph node metastases and locoregional recurrence
Lingua originaleItalian
pagine (da-a)199-206
Numero di pagine8
RivistaRAYS
Volume25
Stato di pubblicazionePubblicato - 2000

Keywords

  • locoregional recurrence
  • thyroid carcinoma

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