TY - JOUR
T1 - Extent of surgery for differentiated thyroid cancer
AU - Dackiw, Alan P.B.
AU - Zeiger, Martha
PY - 2004/6
Y1 - 2004/6
N2 - It is the authors' opinion that total or near-total thyroidectomy followed by 131I ablation and thyroid hormone suppression therapy are the recommended extent of surgery and treatment of choice in differentiated thyroid cancer. These recommendations are based on the retrospective data, discussed above, showing that total thyroidectomy plus 131I and TSH suppression reduces disease recurrence and mortality, removes all intrathyroidal cancer, and facilitates the use of 131I scans and thyroglobulin measurements to monitor for recurrence. This recommendation is also supported by the recent decision analyses summarized above. This recommendation comes with the caveat that total thyroidectomy must be performed safely with a low complication rate. With the institution of this appropriate treatment regimen, the prognosis for the majority of our patients with differentiated thyroid cancer is excellent.
AB - It is the authors' opinion that total or near-total thyroidectomy followed by 131I ablation and thyroid hormone suppression therapy are the recommended extent of surgery and treatment of choice in differentiated thyroid cancer. These recommendations are based on the retrospective data, discussed above, showing that total thyroidectomy plus 131I and TSH suppression reduces disease recurrence and mortality, removes all intrathyroidal cancer, and facilitates the use of 131I scans and thyroglobulin measurements to monitor for recurrence. This recommendation is also supported by the recent decision analyses summarized above. This recommendation comes with the caveat that total thyroidectomy must be performed safely with a low complication rate. With the institution of this appropriate treatment regimen, the prognosis for the majority of our patients with differentiated thyroid cancer is excellent.
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U2 - 10.1016/j.suc.2004.03.001
DO - 10.1016/j.suc.2004.03.001
M3 - Review article
C2 - 15145237
AN - SCOPUS:2442495444
SN - 0039-6109
VL - 84
SP - 817
EP - 832
JO - Surgical Clinics of North America
JF - Surgical Clinics of North America
IS - 3
ER -