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World Journal of Surgery

, Volume 5, Issue 1, pp 3–12 | Cite as

Surgery of thyroid cancer

  • Blake Cady
Article

Abstract

Occult and microscopic differentiated carcinoma of the thyroid is a clinically benign lesion, even when accompanied by lymph node metastases, and should be treated surgically by conservative procedures. Clinically detectable thyroid carcinomas may be of low-risk types in younger patients or high-risk types in older patients. Age is the primary determinant of risk. Low-risk patients should be treated conservatively since the risk of death is currently no higher than 1.5%. High-risk patients should be treated more aggressively since recurrence rates may be high and risk of death from disease may reach 15% to 20%. In all patients, total thyroidectomy should be avoided since it does not improve local control rates or cure rates and exposes the patient to considerable risk of iatrogenic hypoparathyroidism and recurrent nerve injury. This recommendation is particularly true for occult and microscopic disease as well as for low-risk disease, because risk of death from disease is so low.

Keywords

Lymph Node Metastasis Thyroid Cancer Local Control Thyroid Carcinoma Nerve Injury 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Société Internationale de Chirurgie 1981

Authors and Affiliations

  • Blake Cady
    • 1
  1. 1.Department of SurgeryLahey Clinic Medical CenterBurlingtonUSA

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