Timing of Thyroidectomy Does Not Affect Overall Survival in Papillary Thyroid Carcinoma

Appropriate timing of definitive thyroidectomy after diagnosis of papillary thyroid carcinoma (PTC) is not well-defined. We analyzed the impact of timing of thyroidectomy on overall survival (OS) in PTC.
Source: Journal of the American College of Surgeons - Category: Surgery Authors: Tags: Endocrine Source Type: research

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CONCLUSION: There is still no established treatment consensus for follicular carcinoma of SO patients. The choice for a conservative or radical approach depends on the doctor. However, conservative surgery could be considered for low risk, early stage patients who have childbearing potential.PMID:34840766 | PMC:PMC8606842 | DOI:10.1016/j.amsu.2021.103018
Source: Annals of Medicine - Category: Internal Medicine Authors: Source Type: research
Conclusions: Compared with conventional OT, ET is a feasible, practical, and safe procedure with excellent cosmetic benefits.
Source: Journal of Cancer Research and Therapeutics - Category: Cancer & Oncology Authors: Source Type: research
This cohort study determines adoption rates of 2 recent strategies developed to limit overtreatment of low-risk thyroid cancers: a new classification, noninvasive follicular thyroid neoplasm with papillarylike nuclear features, and hemithyroidectomy for selected papillary thyroid carcinomas up to 4 cm in size.
Source: JAMA Otolaryngology - Head and Neck Surgery - Category: ENT & OMF Source Type: research
Ann R Coll Surg Engl. 2021 Nov 23. doi: 10.1308/rcsann.2021.0058. Online ahead of print.ABSTRACTBACKGROUND: The 2016 American Thyroid Association (ATA) guidelines proposed thyroid lobectomy for low-risk differentiated thyroid cancer (DTC); however, this approach is yet to be widely adopted. The aim of the study was to review our practice over three years following the publication of these guidelines identifying patients who underwent lobectomy-only for low-risk DTC in two regional units in the same multidisciplinary team (MDT).METHOD: A retrospective review of patients who were operated between January 2016 and December 20...
Source: Annals of the Royal College of Surgeons of England - Category: Surgery Authors: Source Type: research
AbstractThe treatment of a thyroid carcinoma extending into the thoracic cavity with severe airway stenosis is difficult, since there is a risk of acute respiratory decompensation at every stage of anesthesia. Extracorporeal membrane oxygenation (ECMO) is a life support technique for maintaining both the cardiac and respiratory functions. It is used for the management of acute, severe, reversible respiratory or cardiac failure refractory to conventional management. We herein describe the use of ECMO for the anesthetic management of an elderly patient with severe airway stenosis caused by thyroid carcinoma invasion, which u...
Source: Surgery Today - Category: Surgery Source Type: research
ConclusionsThyroid examination of psychiatric patients who develop goiter due to long-term lithium treatment should be monitored regularly, and appropriate investigations and surgery should be performed in a timely manner if the goiter is growing rapidly.
Source: Thyroid Research - Category: Endocrinology Source Type: research
CONCLUSIONS: Occult metastasis at level Va is rare in PTC with lateral LN metastasis. Occult metastasis at level Vb may occur in PTC patients with multilevel involvement, including level II and/or four or more lateral LN metastases.PMID:34792697 | DOI:10.1245/s10434-021-11085-9
Source: Ann Oncol - Category: Cancer & Oncology Authors: Source Type: research
CONCLUSION: RET mutation detection is a promising/golden screening test and provides an accurate presymptomatic diagnostic test for at-risk carriers (the siblings and offspring of the patients) to consider prophylactic thyroidectomy. Thus, according to the ATA recommendations, the screening of the RET proto-oncogene is indicated for patients with MTC.PMID:34777782 | PMC:PMC8580628 | DOI:10.1155/2021/7250870
Source: Journal of Thyroid Research - Category: Endocrinology Authors: Source Type: research
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