Quality of Life After Surgical Treatment for Thyroid Cancer

To the Editor We read with interest the article by Nickel et al. The results of the study indicated that patients with differentiated thyroid cancer (DTC) treated by hemithyroidectomy enjoyed better quality of survival and fewer complications than those by total thyroidectomy. The authors recommended that hemithyroidectomy might be a more appropriate surgical therapy for small, localized DCT.
Source: JAMA Otolaryngology - Head and Neck Surgery - Category: ENT & OMF Source Type: research

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In Reply We appreciate Dr Chow ’s interest in our study. We agree that having a central lymph node dissection might affect patients’ reported health-related quality of life (HRQOL). In our cohort, 29% of those who had a total thyroidectomy had concurrent central lymph node dissection. We have now further explored whether this affected the association between thyroidectomy and HRQOL in 2 ways. First, we included this as a variable in our multivariable analyses. Compared with having a hemithyroidectomy, we found that the association between having a total thyroidectomy and reporting an HRQOL issue was similar whe...
Source: JAMA Otolaryngology - Head and Neck Surgery - Category: ENT & OMF Source Type: research
Publication date: Available online 10 June 2019Source: European Annals of Otorhinolaryngology, Head and Neck DiseasesAuthor(s): H. Liu, Y. Li, Y. MaoAbstractBackgroundProphylactic central neck dissection (CND) at the time of total thyroidectomy (TT) remains controversial in clinically node-negative (cN0) papillary thyroid carcinoma (PTC). This systematic review and meta-analysis was performed to compare the local recurrence between patients who underwent TT plus CND and those who underwent TT alone.MethodsThe publicly available literature published from January 1990 to October 2017 concerning TT plus prophylactic CND versu...
Source: European Annals of Otorhinolaryngology, Head and Neck Diseases - Category: ENT & OMF Source Type: research
An Israeli medical center says it has pioneered a new procedure to remove or reduce the size of the Adam’s apple without leaving a scar, a significant development for transgender patients considering such surgery. Dr. Avi Khafif Hefetz, a specialist in head and neck surgery and oncology at the A.R.M. Center of Tel Aviv’s Assuta Medical Center, led procedures to reduce the thyroid cartilage surrounding the larynx, commonly known as the Adam’s apple, of two transgender women in May. Two more had the procedure done early June. All were successful. The conventional method of accessing the thyroid area is know...
Source: TIME: Health - Category: Consumer Health News Authors: Tags: Uncategorized health LGBT Medical Procedures Source Type: news
We report the case of a patient operated by two-stage RT for stage pT3a follicular carcinoma, followed by tumour seeding along the incision despite adjuvant Iodine-131 therapy and external beam radiotherapy.DiscussionThis case illustrates the limitations and insufficient perspective of RT for thyroid cancer, with the recent discovery of a risk of tumour seeding along the incision. Rigorous patient selection should help to avoid this risk of tumour seeding.
Source: European Annals of Otorhinolaryngology, Head and Neck Diseases - Category: ENT & OMF Source Type: research
364Objectives: To investigate the values of serum midkine (MK) and galectine-3 (Gal-3) as a diagnostic biomarker in thyroid cancer before the surgery, and analyze the ability of serum MK and Gal-3 to predict metastases before the first 131I treatment in differentiated thyroid cancer(DTC)patients after thyroidectomy. Methods: A total of 42 patients (23 patients in malignant group and 19 patients in benign group) participated in the pre-surgical study. 32 healthy subjects served as controls. Diagnostic values of pre-surgical MK and Gal-3 for malignant thyroid nodule were conducted by receiver operating characteristic (ROC) c...
Source: Journal of Nuclear Medicine - Category: Nuclear Medicine Authors: Tags: Head and Neck Cancer Source Type: research
AbstractThe aim of this study was to evaluate the correlation between central lymph node (CLN) metastasis and Clinicopathological characteristics of papillary thyroid cancer (PTC). In addition, we investigated the incidence and risk factors for ipsilateral and contra lateral CLN metastasis in unilateral PTC and the appropriate surgical extent for CLN dissection. A prospective study of 143 patients with unilateral PTC who underwent total thyroidectomy and prophylactic bilateral CLN dissection was conducted. Of 143 patients, 58 had CLN metastases. The rate of CLN metastasis was considerably higher in cases of maximal tumor s...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - Category: ENT & OMF Source Type: research
A patient who was referred to our clinic for a second opinion on management of a small localized papillary thyroid cancer (PTC) asked, “Why should I have surgery to remove my thyroid if it’s such a good cancer?” At the time of diagnosis, her health care practitioner told her she had agood cancer and recommended thyroidectomy. This question directly relates to the work by Davies et al in this issue ofJAMA Otolaryngology –Head&Neck Surgery. However, it is important to first clarify some misconceptions about the experiences of patients with thyroid cancer.
Source: JAMA Otolaryngology - Head and Neck Surgery - Category: ENT & OMF Source Type: research
We describe the first case of a recurrent MTC metastatic to the parapharyngeal space (PPS) that was managed using a combined transoral robotic surgery (TORS) and transcervical (TC) approach. We review the presentation, natural history, diagnosis and management of recurrent MTC, and describe a novel combined TORS –TC surgical approach for the treatment of PPS metastasis. A 66-year-old male with history of MTC treated with total thyroidectomy in 2000 and a liver resection in 2011 for metastatic MTC was referred to our Head and Neck Surgery Clinic in October 2016 due to increased calcitonin and CEA levels. E xam was sig...
Source: Journal of Robotic Surgery - Category: Surgery Source Type: research
Conclusion: The prognosis of STMs basically depends on the anatomic sites and histological types of primary cancers, and thyroidectomy may be considered for patients with isolated metastases.
Source: Journal of Cancer Research and Therapeutics - Category: Cancer & Oncology Authors: Source Type: research
This cross-sectional cohort study uses the American College of Surgeons National Surgical Quality Improvement Program database to evaluate whether an association exists between preoperative anemia and postoperative 30-day morbidity and mortality outcomes following thyroidectomy in adult patients with thyroid cancer.
Source: JAMA Otolaryngology - Head and Neck Surgery - Category: ENT & OMF Source Type: research
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