IR@PKUHSC  > 北京大学临床肿瘤学院
学科主题临床医学
Completion lobectomy and central compartment dissection in low-risk patients who had undergone less extensive surgery than hemithyroidectomy
Yu, Wen-Bin; Song, Yun-Tao; Zhang, Nai-Song
关键词papillary thyroid cancer central compartment lobectomy
刊名ONCOLOGY LETTERS
2013-03-01
DOI10.3892/ol.2012.1100
5期:3页:743-748
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Oncology
研究领域[WOS]Oncology
关键词[WOS]DIFFERENTIATED THYROID-CANCER ; LYMPH-NODE METASTASIS ; PAPILLARY MICROCARCINOMA ; PROGNOSTIC-FACTORS ; CARCINOMA ; MANAGEMENT ; GUIDELINE ; STRATEGY
英文摘要

Many low-risk patients with solitary papillary thyroid cancer located in one lobe had undergone surgery that was less extensive than hemithyroidectomy in China. An acceptable completion surgery regimen was suggested for these patients based on our experience. A total of 117 enrolled patients underwent completion surgery. Thirty-two patients had prior tumor resection, 46 patients had prior partial thyroidectomy and 39 patients had prior subtotal thyroidectomy. No neck dissection was performed. Reoperation was scheduled a median of 1.2 months (range, 3 days-6.5 months) after primary surgery for papillary thyroid cancer (PTC). Among the 117 patients, residual tumor was pathologically confirmed in 60 patients, with a residual rate of 51.28%. Among these 60 patients, residual tumor was identified in the thyroid bed alone in 18 patients and in compartment VI alone in 28 patients, while 14 patients exhibited residual tumor in both of these regions. Lymph node metastasis was observed in compartment VI in 42 patients (35.90%), and an average of 6.5 nodes were removed (range, 2-14 nodes for each patient). Additionally, 3.14 positive lymph nodes were removed on average from each of the 42 patients. We conclude that the completion regimen, including the ipsilateral residual lobe, the isthmus and ipsilateral compartment VI (prelaryngeal, pretracheal and paratracheal lymph nodes), is reasonable and acceptable for low-risk patients undergoing surgery that is less extensive than hemithyroidectomy.

语种英语
WOS记录号WOS:000315423900003
Citation statistics
Cited Times:2[WOS]   [WOS Record]     [Related Records in WOS]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/63570
Collection北京大学临床肿瘤学院
作者单位Peking Univ, Sch Oncol, Beijing Canc Hosp & Inst, Dept Head & Neck, Beijing 100142, Peoples R China
Recommended Citation
GB/T 7714
Yu, Wen-Bin,Song, Yun-Tao,Zhang, Nai-Song. Completion lobectomy and central compartment dissection in low-risk patients who had undergone less extensive surgery than hemithyroidectomy[J]. ONCOLOGY LETTERS,2013,5(3):743-748.
APA Yu, Wen-Bin,Song, Yun-Tao,&Zhang, Nai-Song.(2013).Completion lobectomy and central compartment dissection in low-risk patients who had undergone less extensive surgery than hemithyroidectomy.ONCOLOGY LETTERS,5(3),743-748.
MLA Yu, Wen-Bin,et al."Completion lobectomy and central compartment dissection in low-risk patients who had undergone less extensive surgery than hemithyroidectomy".ONCOLOGY LETTERS 5.3(2013):743-748.
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