Extent of surgery for differentiated thyroid cancer

Alan P B Dackiw, Martha Zeiger

Research output: Contribution to journalReview article

29 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)817-832
Number of pages16
JournalSurgical Clinics of North America
Volume84
Issue number3
DOIs
StatePublished - Jun 1 2004

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ASJC Scopus subject areas

  • Surgery

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