Risk Factors for Re‐recurrence After First Reoperative Surgery for Locoregional Recurrent/Persistent Papillary Thyroid Carcinoma

Lee, Hwan Seo; Roh, Jong–Lyel; Gong, Gyung Yub; Cho, Kyung–Ja; Choi, Seung-Ho; Nam, Soon Yuhl; Kim, Sang Yoon

doi:10.1007/s00268-015-3052-2

Cited by 33 publications

(39 citation statements)

References 43 publications

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“…[27–29] Now, it is known that ETE is divided into 2 grades: mETE and maximal ETE. Some researchers have reported that maximal ETE decreased the DFS of patients with PTC, while mETE has no impact on it.…”

Section: Discussionmentioning

confidence: 99%

Prognostic impact of minimal extrathyroidal extension in papillary thyroid carcinoma

Yin

et al. 2016

Medicine

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Section: Discussionmentioning

confidence: 99%

Prognostic impact of minimal extrathyroidal extension in papillary thyroid carcinoma

Yin

et al. 2016

Medicine

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“…As is shown in Table , no obvious difference was observed in the temporary RLN paralysis rates (12.2% vs 7.0%; p = .658) and the permanent RLN paralysis rates (4.9% vs 2.3%; p = .966) between the 2 groups. Moreover, RLN function was sometimes difficult to be saved during reoperations because of invasion by tumors or metastatic lymph nodes . In fact, what we were eager to know was whether or not intermittent IONM could reduce the incidence of RLN paralysis caused by surgeon‐related factors and scar‐related factors, but not tumor‐related factors in which the condition of RLN injuries were inevitable.…”

Section: Discussionmentioning

confidence: 99%

“…Whereas bilateral RLN damage may cause not only voice changes but also inspiratory dyspnea, and patients in such condition may need a tracheostomy . The incidence of permanent RLN paralysis and transient RLN paralysis is 4.1% and 9.5% after thyroid reoperation, respectively …”

Section: Introductionmentioning

confidence: 99%

Intermittent intraoperative nerve monitoring in thyroid reoperations: Preliminary results of a randomized, single‐surgeon study

et al. 2016

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“…Multifocality and higher thyroglobulin >20 ng/ml levels are defined risk factors for detection of malignancy in the residual tissue [10,11]. That residual disease is a major prognostic factor and total thyroidectomy decreases the risk of local recurrence and lymph-node metastasis [12,13], even in low-risk carcinoma [14,15] and anaplastic transformation of residual disease is always a possibility [3]. …”

Section: Discussionmentioning

confidence: 99%

Completion Thyroidectomy: Safer than Thought

Gülçelik¹,

Doğan²,

Akgül³

et al. 2018

Oncol Res Treat

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Background: The aim of this study was to find out whether a substantial difference in terms of complication rates exists between primary and completion thyroidectomies following initial bilateral subtotal thyroidectomy in the light of current literature and our series. Patients and Methods: Total number of 696 patients who received completion thyroidectomy (Group 1, n = 289) and total thyroidectomy for differentiated thyroid cancer (Group 2, n = 407) and their data were reviewed and postoperative complications were compared between the groups and with the literature. Results: Transient and permanent hypocalcaemia rates were 20% and 5.8% in Group 1 and 10.5% and 5.1% for Group 2 respectively. Unilateral transient, bilateral transient and unilateral permanent recurrent laryngeal nerve palsy rates were 6.2%, 1.3% and 4.4% for patients in Group 1 whereas same complications were seen in 4.6%, 0.7% and 3.6% of patients in Group 2. When groups were compared for complications; temporary hypocalcaemia, unilateral temporary nerve palsy, and minor wound infection rates were statistically higher in Group 1, with no significant difference in permanent complications. Conclusion: When complication rates of re-operation after bilateral subtotal thyroidectomy and primary total thyroidectomy for differentiated thyroid cancer were compared in an unbiased fashion, completion thyroidectomy was shown to be as safe as a primary operation with regard to permanent complications.

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Risk Factors for Re‐recurrence After First Reoperative Surgery for Locoregional Recurrent/Persistent Papillary Thyroid Carcinoma

Abstract: Postoperative thyroglobulin after reoperative surgery predicted re-recurrence. Careful follow-up of these patients after reoperation is recommended.

Cited by 33 publications

References 43 publications

Prognostic impact of minimal extrathyroidal extension in papillary thyroid carcinoma

Prognostic impact of minimal extrathyroidal extension in papillary thyroid carcinoma

Intermittent intraoperative nerve monitoring in thyroid reoperations: Preliminary results of a randomized, single‐surgeon study

Completion Thyroidectomy: Safer than Thought

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