Objectives: Aim of the study was to identify, in 59 operated patients affected by medullary thyroid carcinoma (MTC), the recurrence rate, survival, mortality and incidences of surgically derived hypoparathyroidism and recurrent laryngeal nerve injury (RLNI). Materials and Methods: Based on pre-surgical diagnosis of the 59 patients included in the study, 35 underwent total thyroidectomy with central neck dissection (Group A), 14 total thyroidectomy, central neck dissection and monolateral functional neck dissection (Group B) and 10 total thyroidectomy central neck dissection, bilateral functional neck dissection (Group C). Overall survival, recurrences, incidence of hypoparathyroidism and RLNI were evaluated. Results: The survival and recurrences were not statistically different among the three Groups. In Group B there was major probability of re-operation (p=0.042). The mortality rate was clearly major in Group C (p=0.003) due to the stage of pathology. Group C showed a high number of hypoparatiroidism compared to Group B, and B compared to A. In Group A there was only one unexpected RLNI; in 5 cases, 3 in Group B and 2 in Group C, there were a necessity laringeal section due to nerve tumor involvement. Conclusions: From our data it appears clearly that disease outcome following the different surgical approaches is mainly determinated by the stage of the disease at diagnosis. However, the finding that patients in Group A and B showed a high rate of local-regional recurrences may suggest that homolateral lymphadenectomy in Group A patients and bilateral lymphadenectomy in Group B patients should be always performed. © Societàrso (SEU).

Surgical strategies in patients with medullary thyroid carcinoma / Sorrenti, Salvatore; Guaitoli, Eleonora; Catania, Antonio; D'Andrea, Vito; DI MATTEO, Filippo Maria; Nardi, Matteo; Prinzi, Natalie; Nardi, Francesco; Ascoli, Valeria; Baldini, Enke; Ulisse, Salvatore; DE ANTONI, Enrico. - In: LA CLINICA TERAPEUTICA. - ISSN 0009-9074. - ELETTRONICO. - 163:5(2012), pp. e303-e306.

Surgical strategies in patients with medullary thyroid carcinoma

SORRENTI, Salvatore;GUAITOLI, ELEONORA;CATANIA, Antonio;D'ANDREA, Vito;DI MATTEO, Filippo Maria;NARDI, MATTEO;PRINZI, NATALIE;NARDI, Francesco;ASCOLI, Valeria;BALDINI, ENKE;ULISSE, SALVATORE;DE ANTONI, Enrico
2012

Abstract

Objectives: Aim of the study was to identify, in 59 operated patients affected by medullary thyroid carcinoma (MTC), the recurrence rate, survival, mortality and incidences of surgically derived hypoparathyroidism and recurrent laryngeal nerve injury (RLNI). Materials and Methods: Based on pre-surgical diagnosis of the 59 patients included in the study, 35 underwent total thyroidectomy with central neck dissection (Group A), 14 total thyroidectomy, central neck dissection and monolateral functional neck dissection (Group B) and 10 total thyroidectomy central neck dissection, bilateral functional neck dissection (Group C). Overall survival, recurrences, incidence of hypoparathyroidism and RLNI were evaluated. Results: The survival and recurrences were not statistically different among the three Groups. In Group B there was major probability of re-operation (p=0.042). The mortality rate was clearly major in Group C (p=0.003) due to the stage of pathology. Group C showed a high number of hypoparatiroidism compared to Group B, and B compared to A. In Group A there was only one unexpected RLNI; in 5 cases, 3 in Group B and 2 in Group C, there were a necessity laringeal section due to nerve tumor involvement. Conclusions: From our data it appears clearly that disease outcome following the different surgical approaches is mainly determinated by the stage of the disease at diagnosis. However, the finding that patients in Group A and B showed a high rate of local-regional recurrences may suggest that homolateral lymphadenectomy in Group A patients and bilateral lymphadenectomy in Group B patients should be always performed. © Societàrso (SEU).
2012
ret; metastasis; thyroidectomy; lymph node dissection; medullary thyroid carcinoma; neoplasia
01 Pubblicazione su rivista::01a Articolo in rivista
Surgical strategies in patients with medullary thyroid carcinoma / Sorrenti, Salvatore; Guaitoli, Eleonora; Catania, Antonio; D'Andrea, Vito; DI MATTEO, Filippo Maria; Nardi, Matteo; Prinzi, Natalie; Nardi, Francesco; Ascoli, Valeria; Baldini, Enke; Ulisse, Salvatore; DE ANTONI, Enrico. - In: LA CLINICA TERAPEUTICA. - ISSN 0009-9074. - ELETTRONICO. - 163:5(2012), pp. e303-e306.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/485466
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