Does hemithyroidectomy still provide any benefit?

Sarfati-Lebreton, Marine; Toque, L.; Philippe, Jean-Baptiste; Finel, Jean-Baptiste; Hamy, A.; Mucci, S.

doi:10.1016/j.ando.2018.09.006

Cited by 5 publications

(2 citation statements)

References 24 publications

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“…However, none of the patients in our study developed temporary or permanent hypocalcemia. In a previous study, the rate of levothyroxine replacement 6 months after hemithyroidectomy was 84.4% [25]; however, none of the patients in our study required hormone replacement. Compared with hemithyroidectomy, the rate of RLN injury in this study was lower; moreover, the patients' serum calcium levels were not affected and none of the patients required hormone replacement.…”

Section: Discussioncontrasting

confidence: 49%

Ultrasound-guided thermal ablation for papillary thyroid microcarcinoma: a multicenter retrospective study

Cao

Ya-lin

et al. 2021

International Journal of Hyperthermia

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Purpose: Ultrasound-guided thermal ablation (including microwave ablation [MWA] and radiofrequency ablation [RFA]) has emerged as a remarkable technology for the treatment of benign and malignant diseases. The objective of this multicenter study was to assess the efficacy and safety of thermal ablation in a large cohort of patients with papillary thyroid microcarcinoma (PTMC). Materials and methods: Retrospective study of 725 patients who underwent MWA/RFA at 11 centers between March 2015 and March 2020. The mean age of patients was 46 ± 11 years (range, 22-81); the mean follow-up time was 21 ± 13 months (range, 6-60). Changes in size of tumor, the rates of tumor disappearance, disease progression, and complications were assessed. Results: From 6 months post-ablation, the size of tumors was significantly reduced compared with those recorded pre-ablation (p < 0.001 for all). Five hundred and fifteen (71.0%) PTMCs had completely disappeared as assessed by ultrasound examination. Six (0.8%) patients developed disease progression post-ablation; of these, 5 (0.7%) patients developed new PTMCs, while one (0.1%) patient developed cervical lymph node metastasis. Nineteen (2.6%) patients developed complications post-ablation; of these 14 (1.9%) patients developed voice hoarseness, 4 (0.6%) developed hematoma, and one (0.1%) patient developed cough. Conclusions: Ultrasound-guided thermal ablation represents an effective and safe treatment for patients with PTMC besides active surveillance and surgery.

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Section: Discussioncontrasting

confidence: 49%

Ultrasound-guided thermal ablation for papillary thyroid microcarcinoma: a multicenter retrospective study

Cao

Ya-lin

et al. 2021

International Journal of Hyperthermia

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“…The authors are unanimous that to obtain optimal surgical results with the least possible morbidity, it is essential to be a trained, experienced surgeon who is regularly informed of the innovations and evolution of technical procedures and their indications . Of the patients treated with lobo‐isthmectomy, 46.4% required hormonal supplementation with levothyroxine versus the 20% usually described …”

Section: Discussionmentioning

confidence: 99%

Incidental thyroid papillary microcarcinoma: survival and follow‐up

Gorostis¹,

Raguin²,

Schneegans³

et al. 2019

The Laryngoscope

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Objectives/Hypothesis: The aim was to study the survival of incidental thyroid papillary microcarcinoma patients treated with surgery for benign thyroid disease to validate absence of oncological follow-up and reduce unnecessary health expenses.Study Design: Retrospective cohort study. Methods: We analyzed patient's files and interviewed 252 patients by telephone whose cases were submitted to the multidisciplinary meeting of thyroid pathology in Strasbourg, France, for incidental thyroid papillary microcarcinoma without clinical lymph node involvement, between January 1996 and December 2012.Results: Thirteen patients (5.8%) died while the data were being collected; however, none of the deaths were due to the thyroid pathology, and no patients showed signs of relapse of the thyroidectomy or cervical lymph node level.Conclusions: Our retrospective study shows that patients with incidental localized thyroid papillary microcarcinoma who underwent surgery without radioactive iodine treatment have an identical survival compared to the general population at the same age to validate absence of oncological follow-up and reduce unnecessary health expenses.

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Prevalence of and risk factors for hypothyroidism after hemithyroidectomy: a systematic review and meta-analysis

Qiu

Yuan

et al. 2020

Endocrine

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Does hemithyroidectomy still provide any benefit?

Cited by 5 publications

References 24 publications

Ultrasound-guided thermal ablation for papillary thyroid microcarcinoma: a multicenter retrospective study

Ultrasound-guided thermal ablation for papillary thyroid microcarcinoma: a multicenter retrospective study

Incidental thyroid papillary microcarcinoma: survival and follow‐up

Prevalence of and risk factors for hypothyroidism after hemithyroidectomy: a systematic review and meta-analysis

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