SURGICAL STRATEGIES FOR DIFFERENTIATED CARCINOMA OF THE THYROID ISTHMUS

被引：41

作者：

SUGENOYA, A ^{[1
]}

SHINGU, K ^{[1
]}

KOBAYASHI, S ^{[1
]}

MASUDA, H ^{[1
]}

TAKAHASHI, S ^{[1
]}

SHIMIZU, T ^{[1
]}

ONUMA, H ^{[1
]}

ASANUMA, K ^{[1
]}

ITO, N ^{[1
]}

IIDA, F ^{[1
]}

机构：

[1] SHINSHU UNIV,SCH MED,DEPT PATHOL,MATSUMOTO,NAGANO 390,JAPAN

来源：

HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK | 1993年 / 15卷 / 02期

关键词：

D O I：

10.1002/hed.2880150212

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

The postoperative outcome (including clinicopathologic features) in 19 patients with differentiated thyroid cancer of the isthmus was investigated to develop more appropriate surgical strategies for these lesions. The extent of thyroidectomy, including neck dissection, tumor size, nodal involvement, and other clinical features were evaluated. The incidence of intraglandular dissemination was about 16% in all patients. Analysis of regional node metastatic distribution revealed no definite metastatic pattern. In addition, there was no apparent correlation between tumor size and nodal involvement. Two of the six patients who underwent total thyroidectomy suffered permanent postoperative hypoparathyroidism. It is thus recommended that isthmusectomy, including an adequate edge of surrounding normal thyroid tissues of each lobe and modified or limited neck dissection when cervical nodes are palpably enlarged, is sufficient as an appropriate primary surgical procedure for differentiated carcinoma of the thyroid isthmus.

引用

页码：158 / 160

页数：3