The prognostic value of serum thyroid‐stimulating hormone level post‐lobectomy in low‐ and intermediate‐risk papillary thyroid carcinoma

Abstract

TSH levels during the early postoperative period need to be monitored and maintained in the lower normal range even in patients with low- or intermediate-risk PTC undergoing thyroid lobectomy.

Recurrence following hemithyroidectomy in patients with low- and intermediate-risk papillary thyroid carcinoma

“…In the present study, the incidence of multifocality (10·2 per cent) was comparable to previously reported rates ranging from 6·7 to 14·6 per cent, and this factor was identified as the sole predictor of recurrence. This result, together with the recurrence pattern, indicates that a degree of occult contralateral PTC led to frequent recurrence in the contralateral thyroid lobe.…”

“…Interestingly, although CND was not done routinely in the present study and performed in only 11·6 per cent of patients, the recurrence rate was comparable to those in studies involving routine CND in patients with similar clinicopathological characteristics (4·0–5·5 per cent). Among the 65 patients who underwent CND, the rate of central neck metastasis was only 14 per cent (9 of 65), and it was not associated with recurrence.…”

The Effect of Prophylactic Central Neck Dissection During Hemithyroidectomy on Locoregional Recurrence in Patients With Papillary Thyroid Carcinoma: A Meta-Analysis

“…1). Table 1 summarizes the outcomes of the 14 studies that were ultimately included in the analysis [10][11][12][13][14][15][16][17][18][19][20][21][22][23]. Two studies investigated the impact of prophylactic central neck dissection in hemithyroidectomy using a comparative method [11,19].…”

“…Six investigations compared oncological results between total thyroidectomy and hemithyroidectomy in various subjects; however, only the data regarding hemithyroidectomy were included in the present study [10,12,13,20,21,23]. Others compared recurrence according to various factors among patients who underwent hemithyroidectomy [14][15][16][17][18]22]. The patients included were Recurrence in the central compartment was lower in the central neck dissection (CND) group.…”

“…Studies by Kuba et al [12] and Matsuzu et al [16] did not report lymph node metastasis in the central and lateral compartments separately. Park et al [18] did not report recurrence in the contralateral thyroid and, in one study by Vaisman et al [22], the follow-up period was too short (12 months; range, 3-28 months), making it difficult to calculate the true recurrence rate. Thus, these studies were classified as having a high risk for bias in incomplete outcome data (Fig.…”