Lobectomy in patients with differentiated thyroid cancer: experience of a Chilean tertiary center

被引:0
作者
Fuentes, Ignacio [1 ,2 ]
Santana, Roberto [1 ]
Espinoza, Martin [1 ]
Arteaga, Eugenio [1 ,2 ]
Uslar, Thomas [1 ,2 ]
Baudrand, Rene [1 ,2 ]
Gonzalez, Gilberto [1 ,2 ]
Guarda, Francisco J. [1 ,2 ]
Lustig, Nicole [1 ,2 ]
Mosso, Lorena [1 ,2 ]
Nilo, Flavia [1 ,2 ]
Valenzuela, Felipe [1 ,2 ]
Dominguez, Francisco [3 ]
Gonzalez, Hernan Eugenio [3 ]
Montero, Pablo H. [3 ]
Cruz, Francisco [4 ]
Solar, Antonieta [5 ]
Dominguez, Jose M. [1 ,2 ]
机构
[1] Pontificia Univ Catolica Chile, Fac Med, Dept Endocrinol, Santiago, Chile
[2] Pontificia Univ Catolica Chile, Fac Med, CETREN UC, Santiago, Chile
[3] Pontificia Univ Catolica Chile, Fac Med, Dept Head & Neck Surg, Santiago, Chile
[4] Pontificia Univ Catolica Chile, Fac Med, Dept Radiol, Santiago, Chile
[5] Pontificia Univ Catolica Chile, Fac Med, Dept Pathol, Santiago, Chile
关键词
Thyroid cancer; Lobectomy; Anti thyroglobulin antibodies; Quality of Life; Personalized medicine; MANAGEMENT GUIDELINES; RISK; WELL; HEMITHYROIDECTOMY; COMPLICATIONS; RADIOIODINE; CARCINOMA; EXTENSION; SURVIVAL; NODULES;
D O I
10.1007/s12020-024-03905-1
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
PurposeThyroid lobectomy (TL) is an appropriate treatment for up to 4 cm intrathyroidal differentiated thyroid cancer (DTC). There is scarce data regarding TL outside first-world centers. Our aim is to report a cohort of patients with DTC treated with TL in Chile.MethodsWe included DTC patients treated with TL, followed for at least 6 months, characterized their clinicopathological features and classified their risk of recurrence and response to treatment.ResultsEighty-two patients followed for a median of 2.3 years (0.5-7.0). Seventy-three (89%) patients had papillary, 8 (9.8%) follicular and 1 (1.2%) high-grade DTC. The risk of recurrence was low in 56 (68.3%) and intermediate in 26 (31.7%). Eight (9.8%) patients required early completion thyroidectomy and radioiodine. At last follow-up, 52 (70.3%) had excellent, 19 (25.7%) had indeterminate, and 1 (1.4%) had structural incomplete response.ConclusionIn a developing country, TL is an adequate option for appropriately selected DTC patients.
引用
收藏
页码:692 / 698
页数:7
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