Report of the consensus development conference on the management of differentiated thyroid cancer in the Netherlands

Velde, Cornelis J.H. van de; Hamming, Jaap F.; Goslings, B. M.; Schelfhout, L.J.D.M.; Clark, Orlo H.; Smeds, Staffan; Bruining, H. A.; Krenning, Eric P.; Cady, Blake

doi:10.1016/0277-5379(88)90270-2

Cited by 51 publications

(31 citation statements)

References 11 publications

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“…The treatment of papillary thyroid cancer in general is still controversial concerning the extent of thyroidectomy, the extent of neck dissection and the need for postoperative adjuvant therapies [24]. In Western countries, total thyroidectomy followed by radioactive iodine whole body ablation and suppression of TSH secretion is widely advocated for all patients with papillary thyroid carcinoma who are classified even in a low-risk group in order to improve the prognosis [25][26][27][28][29][30][31][32][33]. Some authors stated, however, that patients with low-risk papillary thyroid carcinoma have such a favorable prognosis as 98% survival in 20-year follow-up study, that further beneficial effects of those "complete" therapy have never been convincingly shown [34,35].…”

Section: Prognostic Factors and Outcomesmentioning

confidence: 99%

Symptomatic versus Asymptomatic Papillary Thyroid Microcarcinoma: A Retrospective Analysis of Surgical Outcome and Prognostic Factors.

1999

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Section: Prognostic Factors and Outcomesmentioning

confidence: 99%

Symptomatic versus Asymptomatic Papillary Thyroid Microcarcinoma: A Retrospective Analysis of Surgical Outcome and Prognostic Factors.

1999

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“…Several European countries have developed their own guidelines or consensus reports (3)(4)(5)(6), based on consolidated experience and cultural attitude of the country. Nevertheless, they differ in several, sometimes important, aspects.…”

Section: Introductionmentioning

confidence: 99%

European consensus for the management of patients with differentiated thyroid carcinoma of the follicular epithelium

Pacini

Schlumberger

Dralle³

et al. 2006

eur j endocrinol

1,800

1,319

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“…The classification concerning extent of thyroid gland excision was classified during the Conference in Holland in 1987 (17).…”

Section: Discussionmentioning

confidence: 99%

“…In 9 (5.2%) patients we performed near total thyroidectomy according to Consensus Development Conference of DTC (Holland 1987) (17). All thyroid cancer patients had total thyroidectomy with appropriate lymphadenectomy.…”

Section: Methodsmentioning

confidence: 99%

Total Thyroidectomy for Nodular, Benign Thyroid Diseases in Terms of Larynx Function Examinations - Is it a New Treatment Standard?

Kaczka

Jankowski

Kopczyński

et al. 2010

Polish Journal of Surgery

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Aim of the study was the assessment of total thyroidectomy (TT) value as a treatment method of goiter with particular emphasis on the results of laryngological examination. material and methods. From 15 th April 2008 to 1 st July 2009 there were 125 (72.7%) TTs, 12 (7%) TTs and appropriate lymphadenectomies, 9 (5.2%) near TTs, 14 (8.1%) lobectomies, 5 (2.9%) completion thyroidectomies and 6 (3.4%) other operations. Vocal cords function was assessed routinely one day before, two days after operation by an otolaryngologist. Voice quality was assessed by patients in VHI questionnaire theirselves. Results. Five patients had one-sided vocal cord paralysis before the operation. The one-sided transient recurrent laryngeal nerve injuries was observed in 16 other patients (9.3% among patients and 4.6% among nerves at risk)in the second day after the operation. There was no bilateral recurrent laryngeal nerve injury. From three to six months after the operation, 21 (among 23) patients with vocal cord movement disability were examined once again by the same otolaryngologist. The same vocal cord paralysis was observed in 4 sicks (one person died), which was found preoperatively. Seven (4%) other patients had permanent one vocal cord paresis. This represents 2% the nerves at risk. Three of them were recognized benign lesions and four thyroid cancer. Our percentage of early, postoperative hypoparathyroidism was 6.4% and persistent was 1.7%. VHI score in the group with paresis or paralysis of vocal cord gave the score of 4 to 90 points-an average of 49 points. In patients with proper vocal cord movement there were results from 0 to 6 points-an average of 2 points. conclusions. 1. Total thyroidectomy in the treatment of bilateral goiter without malignancy features is radical and safe procedure. 2. It protects against goiter relapse and its consequences. 3. Complications rates after total thyroidectomy are at acceptable and comparable proportions to the other operation types.

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Report of the consensus development conference on the management of differentiated thyroid cancer in the Netherlands

Cited by 51 publications

References 11 publications

Symptomatic versus Asymptomatic Papillary Thyroid Microcarcinoma: A Retrospective Analysis of Surgical Outcome and Prognostic Factors.

Symptomatic versus Asymptomatic Papillary Thyroid Microcarcinoma: A Retrospective Analysis of Surgical Outcome and Prognostic Factors.

European consensus for the management of patients with differentiated thyroid carcinoma of the follicular epithelium

Total Thyroidectomy for Nodular, Benign Thyroid Diseases in Terms of Larynx Function Examinations - Is it a New Treatment Standard?

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