Clinical investigation of patients with papillary thyroid carcinoma treated by total thyroidectomy

DOI
  • Yamaguchi Norihito
    Department of Otorhinolaryngology, Toyohashi Municipal Hospital
  • Matoba Takuma
    Department of Otorhinolaryngology and Head-and-Neck-Surgery, Nagoya City University Graduate School of Medical Sciences
  • Kawakita Daisuke
    Department of Otorhinolaryngology and Head-and-Neck-Surgery, Nagoya City University Graduate School of Medical Sciences
  • Takano Gaku
    Department of Otorhinolaryngology, Nagoya City University West Medical Center
  • Murashima Akihiro
    Department of Otorhinolaryngology and Head-and-Neck-Surgery, Nagoya City University Graduate School of Medical Sciences
  • Minohara Kiyoshi
    Department of Otorhinolaryngology and Head-and-Neck-Surgery, Nagoya City University Graduate School of Medical Sciences
  • Iwaki Sho
    Department of Otorhinolaryngology and Head-and-Neck-Surgery, Nagoya City University Graduate School of Medical Sciences
  • Tsuge Hiroshi
    Department of Otorhinolaryngology and Head-and-Neck-Surgery, Nagoya City University Graduate School of Medical Sciences
  • Iwasaki Shinichi
    Department of Otorhinolaryngology and Head-and-Neck-Surgery, Nagoya City University Graduate School of Medical Sciences

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Other Title
  • 甲状腺乳頭癌全摘症例の臨床的検討

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Abstract

Total thyroidectomy is recommended for patients with papillary thyroid carcinoma classified as high-risk according to the Japanese guidelines. For intermediate-risk patients, total thyroidectomy is recommended case by case. Therefore, it is difficult to decide the extent of the thyroidectomy in some cases. Accordingly, we investigated the clinical features of patients with papillary thyroid carcinoma who underwent total thyroidectomy at Nagoya City University. A total of 72 patients underwent total thyroidectomy between July 2012 and July 2022. High-risk patients were the majority. Most of the intermediate-risk patients had metastatic lymph nodes at the lateral lesions. The progression-free survival rate of high-risk patients was poor in this study. In intermediate-risk patients, patients with metastatic lymph nodes at the lateral lesions were suggested to have a high risk of recurrence or metastasis. Therefore, total thyroidectomy should be considered for such patients, while striving to prevent complications.

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