2016
DOI: 10.1007/s00423-016-1460-x
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The extent of surgery in thyroglossal cyst carcinoma

Abstract: The routine addition of total thyroidectomy to Sistrunk's procedure seems to be appropriate for comprehensive loco-regional control especially that selecting a subset of patients in which it could be omitted is a difficult task.

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Cited by 31 publications
(50 citation statements)
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References 25 publications
(43 reference statements)
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“…Accordingly, Sistrunk procedure is considered as the only procedure in the setting of a clinically and radiologically normal thyroid gland in low-risk patients with low-risk tumours, for patients who are age <45 years, with no history of radiation exposure, a tumour size <4.0 cm, no soft tissue invasion, no lymphadenopathy, and the absence of aggressive tumour histology. 24 Tharmabala and colleagues proposed a risk stratification groups into three classifications: for low-risk, observe and wait; for moderate risk, total thyroidectomy, hormonal suppressing treatment, and radioactive iodine; for the high-risk group, vertical lymph node dissection in addition to the other treatments. 21 Metastatic spread is uncommon, and the prognosis is usually good.…”
Section: Pathological Discussionmentioning
confidence: 99%
“…Accordingly, Sistrunk procedure is considered as the only procedure in the setting of a clinically and radiologically normal thyroid gland in low-risk patients with low-risk tumours, for patients who are age <45 years, with no history of radiation exposure, a tumour size <4.0 cm, no soft tissue invasion, no lymphadenopathy, and the absence of aggressive tumour histology. 24 Tharmabala and colleagues proposed a risk stratification groups into three classifications: for low-risk, observe and wait; for moderate risk, total thyroidectomy, hormonal suppressing treatment, and radioactive iodine; for the high-risk group, vertical lymph node dissection in addition to the other treatments. 21 Metastatic spread is uncommon, and the prognosis is usually good.…”
Section: Pathological Discussionmentioning
confidence: 99%
“…Hence, it is recommended that in low risk patients with normal thyroid gland, both clinically and radiologically, the Sistrunk procedure is performed alone without total thyroidectomy. 10 The inclusion criteria for low risk situations is age < 45 years, size of the tumor < 4 cm, no soft tissue infiltration, no distant metastasis, no aggressive tumor histology, and no previous radiation exposure. 10 In high risk patients or in patients where there are positive surgical margins, total thyroidectomy and radioactive iodine ablation (RAI) are done in addition to the Sistrunk procedure.…”
Section: Discussionmentioning
confidence: 99%
“…This thyroglossal tract usually disappears by 10th week of gestation [2, 5]. However, it fails to involute in 7% of cases [1, 4].…”
Section: Discussionmentioning
confidence: 99%