What is the Minimal Surgery for Papillary Thyroid Carcinoma?
Although thyroid surgery for treatment of papillary thyroid carcinoma (PTC) has been practiced for more than 100 years, there is still controversy regarding the minimal surgery needed for cure. The main reason for this controversy is lack of prospective randomized trials. The data accumulated in the...
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| Format: | Article |
| Language: | English |
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Rambam Health Care Campus
2016-01-01
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| Series: | Rambam Maimonides Medical Journal |
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| Online Access: | http://rmmj.org.il/Pages/ArticleHTM.aspx?manuId=566 |
| _version_ | 1818251372240306176 |
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| author | Eran Fridman Ziv Gil |
| author_facet | Eran Fridman Ziv Gil |
| author_sort | Eran Fridman |
| collection | DOAJ |
| description | Although thyroid surgery for treatment of papillary thyroid carcinoma (PTC) has been practiced for more than 100 years, there is still controversy regarding the minimal surgery needed for cure. The main reason for this controversy is lack of prospective randomized trials. The data accumulated in the last four decades indicate that hemithyroidectomy can be sufficient and safely practiced in low-risk patients with PTC. Patients <45 years of age with a single tumor less than 2 cm, with no lymphatic spread, and in the absence of other risk factors, can be equally managed by hemithyroidectomy or total thyroidectomy. A slight increase in the risk of vocal cord paralysis and hypocalcemia after total thyroidectomy suggests that hemithyroidectomy is appropriate for the management of patients with stage T1 disease. Any choice regarding the extent of surgery should be made with the patient and his family and in a multidisciplinary setup, which has been shown to improve decision-making procedures before the operation and during follow-up. |
| first_indexed | 2024-12-12T16:07:14Z |
| format | Article |
| id | doaj.art-3063397cad0a4866959377e382a7cd81 |
| institution | Directory Open Access Journal |
| issn | 2076-9172 |
| language | English |
| last_indexed | 2024-12-12T16:07:14Z |
| publishDate | 2016-01-01 |
| publisher | Rambam Health Care Campus |
| record_format | Article |
| series | Rambam Maimonides Medical Journal |
| spelling | doaj.art-3063397cad0a4866959377e382a7cd812022-12-22T00:19:17ZengRambam Health Care CampusRambam Maimonides Medical Journal2076-91722016-01-0171e000510.5041/RMMJ.10232What is the Minimal Surgery for Papillary Thyroid Carcinoma?Eran Fridman0Ziv Gil1Department of Otolaryngology Head and Neck Surgery, The Head and Neck Center, the Clinical Research Institute, Rambam Health Care Campus, Rappaport Institute of Research and Medicine, The Technion-Israel Institute of Technology, Haifa, IsraelDepartment of Otolaryngology Head and Neck Surgery, The Head and Neck Center, the Clinical Research Institute, Rambam Health Care Campus, Rappaport Institute of Research and Medicine, The Technion-Israel Institute of Technology, Haifa, IsraelAlthough thyroid surgery for treatment of papillary thyroid carcinoma (PTC) has been practiced for more than 100 years, there is still controversy regarding the minimal surgery needed for cure. The main reason for this controversy is lack of prospective randomized trials. The data accumulated in the last four decades indicate that hemithyroidectomy can be sufficient and safely practiced in low-risk patients with PTC. Patients <45 years of age with a single tumor less than 2 cm, with no lymphatic spread, and in the absence of other risk factors, can be equally managed by hemithyroidectomy or total thyroidectomy. A slight increase in the risk of vocal cord paralysis and hypocalcemia after total thyroidectomy suggests that hemithyroidectomy is appropriate for the management of patients with stage T1 disease. Any choice regarding the extent of surgery should be made with the patient and his family and in a multidisciplinary setup, which has been shown to improve decision-making procedures before the operation and during follow-up.http://rmmj.org.il/Pages/ArticleHTM.aspx?manuId=566Hemithyroidectomylobectomypapillarythyroid |
| spellingShingle | Eran Fridman Ziv Gil What is the Minimal Surgery for Papillary Thyroid Carcinoma? Rambam Maimonides Medical Journal Hemithyroidectomy lobectomy papillary thyroid |
| title | What is the Minimal Surgery for Papillary Thyroid Carcinoma? |
| title_full | What is the Minimal Surgery for Papillary Thyroid Carcinoma? |
| title_fullStr | What is the Minimal Surgery for Papillary Thyroid Carcinoma? |
| title_full_unstemmed | What is the Minimal Surgery for Papillary Thyroid Carcinoma? |
| title_short | What is the Minimal Surgery for Papillary Thyroid Carcinoma? |
| title_sort | what is the minimal surgery for papillary thyroid carcinoma |
| topic | Hemithyroidectomy lobectomy papillary thyroid |
| url | http://rmmj.org.il/Pages/ArticleHTM.aspx?manuId=566 |
| work_keys_str_mv | AT eranfridman whatistheminimalsurgeryforpapillarythyroidcarcinoma AT zivgil whatistheminimalsurgeryforpapillarythyroidcarcinoma |