Otorhinolaryngology, Tan Tock Seng Hospital, Singapore, Singapore
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Otolaryngology, Head and Neck Surgery, Sheba Medical Center, Ramat Gan, Israel
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of both tumors in the same thyroid gland is observed in 14.7% of thyroidectomies performed for medullary thyroid carcinomas in a series of 82 cases [ 3 ]. However, collision metastases of these 2 tumors in the same cervical lymph node have only been
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surgical procedure performed in most cases and depending on the final pathology and risk of recurrence classification, a second surgery may be necessary to complete total thyroidectomy. Preoperative molecular analyses are now available for suspicious
Department of Surgery, County Hospital Ryhov, Jönköping, Sweden
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in continued expectancy. Thus, 22% of the original 473 patients underwent thyroid surgery during the follow-up period. The predominant operations were lobectomy (53) and total thyroidectomy (41). Table 1 Main indication for 236 re
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to increased use of imaging. Adequate surgery remains the most important prognostic determinant in the management of DTC [ 2 ]. The standard of care until recently has been total thyroidectomy (TT) and adjuvant radio-active iodine (RAI) for all such
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cancer (PTC) treated with TKI therapy and who subsequently underwent total thyroidectomy and central lymph node dissection. Very few patients treated with TKIs for unresectable local disease have been reported to date; hence, the clinical and pathological
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Laboratoire Health Services and Performance Research (EA 7425 HESPER), Université Claude Bernard Lyon 1, Villeurbanne, France
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CarMeN Laboratory, Université Claude-Bernard Lyon 1, Inserm U1060, INRA U1397, INSA Lyon, IMBL, Villeurbanne, France
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Registre des Cancers Thyroïdiens du Département du Rhône, Hospices Civils de Lyon, Groupement Hospitalier Est, Bron, France
Laboratoire Health Services and Performance Research (EA 7425 HESPER), Université Claude Bernard Lyon 1, Villeurbanne, France
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mainstay of PTC treatment is surgical resection which allows removal of the tumor, perform histology, and classify patients (4–5). Lobectomy was performed in our center mostly during the eighties and early nineties. Total thyroidectomy, which has been
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thyroidectomy and central lymph node dissection in March 2012. The size of the papillary thyroid tumor was 12 mm. PTC was of pure common papillary histological pattern (Fig. 1 ). Neither thyroid capsule invasion nor extrathyroid extension had been found on a
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of DTC usually consists of total thyroidectomy followed by radioactive iodine (RAI) remnant ablation (RRA). Postoperative administration of RAI serves three major goals: the first is to destroy any residual microscopic disease as well as any remaining
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any radical treatment of hyperthyroidism (i.e., thyroidectomy or radioiodine treatment) [ 1 ]. We report a retrospective series of 22 hyperthyroid patients who underwent TPE in our tertiary care center hospital. Our goals were to describe the use
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them with some metastases > 5 mm. None of the patients had serum thyroglobulin > 2 ng/mL after total thyroidectomy or > 10 ng/mL after lobectomy with isthmectomy, or a clinical suspicion of metastases in the first assessment and 18 months after surgery