Completion thyroidectomy for initially misdiagnosed thyroid cancer

Journal Article · Fri Jun 01 00:00:00 EDT 1990 · Otolaryngologic Clinics of North America; (USA)

OSTI ID:6642195

Auguste, L J; Attie, J N ^[1]

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1. Albert Einstein College of Medicine, New York, NY (USA)

Intraoperative frozen sections fails to diagnose thyroid carcinoma accurately in 16% of cases. In such instances, we recommend that completion thyroidectomy be performed in the patient who has invasive carcinoma, is less than 70 years old, and has a reasonable life expectancy. The procedure should be carried out immediately if the error in diagnosis is discovered within a week; otherwise the procedure should be delayed until 3 to 4 months later. At that time, the recurrent laryngeal nerves and at least two parathyroid glands should be dissected and preserved. A paratracheal lymph node dissection should also be performed and the lower jugular lymph nodes should be sampled. If these jugular lymph nodes are found to be positive, a modified radical neck dissection should be added. The morbidity associated with the completion thyroidectomy is minimal. Postoperatively, a 131I scan of the neck should be carried out and ablative doses of radioactive iodine can be given if the uptake in the thyroid bed is greater than 1.5%. Subsequently, all patients are given thyroid suppressive therapy and are monitored closely. This approach will reduce the local recurrence rate and improve the long-term survival. 19 references.

• OSTI ID: 6642195
• Journal Information: Otolaryngologic Clinics of North America; (USA), Vol. 23:3; ISSN 0030-6665
• Country of Publication: United States
• Language: English

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62 RADIOLOGY AND NUCLEAR MEDICINE
CARCINOMAS
RADIOTHERAPY
THYROID
IODINE 131
LYMPH NODES
MAN
METASTASES
PATIENTS
REVIEWS
SURVIVAL TIME
THYROIDECTOMY
ANIMALS
BETA DECAY RADIOISOTOPES
BETA-MINUS DECAY RADIOISOTOPES
BODY
DAYS LIVING RADIOISOTOPES
DISEASES
DOCUMENT TYPES
ENDOCRINE GLANDS
GLANDS
INTERMEDIATE MASS NUCLEI
IODINE ISOTOPES
ISOTOPES
LYMPHATIC SYSTEM
MAMMALS
MEDICINE
NEOPLASMS
NUCLEAR MEDICINE
NUCLEI
ODD-EVEN NUCLEI
ORGANS
PRIMATES
RADIOISOTOPES
RADIOLOGY
SURGERY
THERAPY
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550601* - Medicine- Unsealed Radionuclides in Diagnostics
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