Jurnalul de Chirurgie
 Jurnalul de chirurgie
Aparitie trimestriala in a doua luna a trimestrului
Published quarterly in the second month of the quarter
ISSN: 1584 - 9341 Vol.10 Nr.3 - Iulie-Septembrie 2014 | luni, 17 iunie 2019
ISSN: 1584 - 9341 Vol.10 No.3 - July-September 2014
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IS COMPLETION THYROIDECTOMY “A MUST” IN TREATMENT OF WELL DIFFERENTIATED THYROID CANCER?
R. Dănilă (1), Ramona Popovici (1), Al. Grigorovici (1), Lidia Ionescu (1), L. Lefter
(1), Maria Cristina Ungureanu (2), C. Dragomir (1)

(1) Third Surgical Clinic; (2) Clinic of Endocrinology
„St. Spiridon” Hospital Iaşi
University of Medicine and Pharmacy „Gr.T. Popa” Iaşi
Jurnalul de chirurgie 2008; 4 (1):33-38
Full text: PDF Format (Engleză/English)

Abstract:

Background: Due to limitations of citology and frozen section examination in case of follicular neoplasia, the diagnosis of malignancy may be established only by the definitive histology, thus raising the need of a completion thyroidectomy. The aim of the study was to reevaluate the necessity and safety of completion thyroidectomy after initial limited surgery for alleged benign nodular thyroid pathology. Material and method: A clinical retrospective study was carried out on a series of 11 patients with completion thyroidectomy, representing 8.8% from the 125 cases of differentiated thyroid cancer (DTC) operated in our unit between 1990 and 2005. The initial operation was lobectomy for solitary thyroid nodule in 7 cases, lobectomy and nodulectomy on the opposite lobe in 2 cases and subtotal thyroidectomy in 2 cases (nodular Hashimoto thyroiditis and Graves’ disease). Results: The histology report after initial surgery showed 8 cases of papillary carcinoma (including a case of follicular variant) and 3 cases of follicular carcinoma (including a case of oncocitary carcinoma). The completion of thyroidectomy followed the first operation at 3-10 weeks. The final pathology report noted multicentricity in the remaining lobe in one case only (9.09%), although 35.2% of the DTC with initial total thyroidectomy were found to be multicentric. There were no postoperative deaths and morbidity consisted of a temporary recurrent nerve palsy and temporary hypoparathyroidism, 1 case each (9.09 %). Conclusion: Completion thyroidectomy has proved to be a safe procedure in specialized centers and it should be performed based on the individual patient’s risk assessment and not on concern for risk of complications of reintervention.

KEY WORDS: DIFFERENTIATED THYROID CARCINOMA, THYROIDECTOMY, COMPLETION, COMPLICATIONS

Correspondence to: Radu Dănilă, MD, PhD, Third Surgical Clinic, „St. Spiridon” Hospital Iaşi, Bd. Independenţei, No. 1, 700111, Iaşi, Romania; e-mail:



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Jurnalul de chirurgie [Journal of Surgery] by Editorial Board, Department of Surgery University of Medicine and Pharmacy Iasi, E. Tarcoveanu, R. Moldovanu is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
Based on a work at www.jurnaluldechirurgie.ro.