Clinical recurrence of papillary thyroid cancer in the remnant lobe

Citation
K. Asanuma et al., Clinical recurrence of papillary thyroid cancer in the remnant lobe, EURO J SURG, 166(3), 2000, pp. 202-206
Citations number
11
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Surgery
Journal title
EUROPEAN JOURNAL OF SURGERY
ISSN journal
1102-4151 → ACNP
Volume
166
Issue
3
Year of publication
2000
Pages
202 - 206
Database
ISI
SICI code
1102-4151(200003)166:3<202:CROPTC>2.0.ZU;2-7
Abstract
Objective: To find out which factors predict recurrence of cancer in the re mnant after unilateral thyroid lobectomy for patients with papillary cancer . Design: Retrospective study. Setting: Teaching hospital, Japan. Subjects: One hundred thirty-three patients with a clinically solitary papi llary thyroid cancer who had unilateral lobectomy for the primary disease b etween 1966 and 1990 and were followed up for more than 60 months. Twelve p atients had developed recurrences in the remnant gland by the time of the s econd operation and 121 patients had not as judged by a second operation, a n ultrasound examination, or by palpation. Result: The primary tumour size in those who developed recurrences was sign ificantly larger than in those who did not (p < 0.0001), and clinical signs of regional lymph node involvement or distant metastases were also signifi cantly more common (p = 0.006). No patient died of their cancer. Conclusion: Size of the primary tumour is an important prognostic factor fo r recurrence of solitary papillary thyroid cancer in the remnant after unil ateral lobectomy. Such recurrences are unlikely to be lethal.