Thyroid Lobectomy for Low to Intermediate Risk Differentiated Thyroid Cancer
- PMID: 33171949
- PMCID: PMC7694652
- DOI: 10.3390/cancers12113282
Thyroid Lobectomy for Low to Intermediate Risk Differentiated Thyroid Cancer
Abstract
Many recent publications and guidelines have promoted a "more is less" approach in terms of treatment for low to intermediate risk differentiated thyroid cancer (DTC), which comprise the vast majority of thyroid cancers: less extensive surgery, less radioactive iodine, less or no thyroid hormone suppression, and less frequent or stringent follow-up. Following this approach, thyroid lobectomy has been proposed as a means of decreasing short- and long-term postoperative morbidity while maintaining an excellent prognosis for tumors meeting specific macroscopic and microscopic criteria. This article will examine the pros and cons of thyroid lobectomy for low to intermediate risk cancers and discuss, in detail, criteria for patient selection and oncological outcomes.
Keywords: lobectomy; prognosis; risk stratification; thyroid cancer; thyroidectomy.
Conflict of interest statement
The authors declare no conflict of interest.
References
-
- Haugen B.R., Alexander E.K., Bible K.C., Doherty G.M., Mandel S.J., Nikiforov Y.E., Pacini F., Randolph G.W., Sawka A.M., Schlumberger M., et al. 2015 American Thyroid Association Management Guidelines for Adult Patients with Thyroid Nodules and Differentiated Thyroid Cancer: The American Thyroid Association Guidelines Task Force on Thyroid Nodules and Differentiated Thyroid Cancer. Thyroid. 2016;26:372–381. doi: 10.1089/thy.2015.0020. - DOI - PMC - PubMed
-
- Mathonnet M., Cuerq A., Tresallet C., Thalabard J.-C., Fery-Lemonnier E., Russ G., Leenhardt L., Bigorgne C., Tuppin P., Millat B., et al. What is the care pathway of patients who undergo thyroid surgery in France and its potential pitfalls? A national cohort. BMJ Open. 2017;7:013589. doi: 10.1136/bmjopen-2016-013589. - DOI - PMC - PubMed
-
- Meltzer C., Irish J., Angelos P., Busaidy N.L., Davies L., Dwojak S., Ferris R.L., Haugen B.R., Harrell R.M., Haymart M.R., et al. American Head and Neck Society Endocrine Section clinical consensus statement: North American quality statements and evidence-based multidisciplinary workflow algorithms for the evaluation and management of thyroid nodules. Head Neck. 2018;41:843–856. doi: 10.1002/hed.25526. - DOI - PubMed
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