| Surveillance and intervention after thyroid lobectomy. | |
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MedLine Citation:
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PMID: 21246403 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: After thyroid lobectomy, many patients require ongoing care. This study sought to quantify the rates of surveillance and intervention after thyroid lobectomy. METHODS: One hundred one consecutive patients who underwent a thyroid lobectomy for nodular disease were evaluated. Clinical and follow-up data were obtained by a review of patient charts and included an evaluation of resource utilization related to thyroid disease. RESULTS: Nineteen patients required completion thyroidectomy for thyroid cancer, and 11 had hypothyroidism before lobectomy. Of the remaining evaluable patients, 30 (42.2%) of 71 required thyroid hormone replacement after lobectomy, with 24 patients having elevated thyroid-stimulating hormone and 6 suppression of nodules in the contralateral lobe. The likelihood of thyroid hormone replacement demonstrated a trend with a contralateral nodule (9 of 14 vs. 21 of 57, P = 0.06) and a significant association with thyroiditis on surgical pathology (10 of 11 vs. 20 of 60, P < 0.001). Of the 82 patients who did not undergo completion lobectomy, 10 (12%) of 82 underwent postoperative fine-needle aspiration of the contralateral lobe, and 25 (30%) of 82 were followed with ultrasound surveillance. Only 27% of patients treated with lobectomy required no further surveillance or intervention. There were no instances of permanent recurrent laryngeal nerve injury. CONCLUSIONS: After thyroid lobectomy, most patients require continued surveillance and intervention. With a near-zero complication rate, total thyroidectomy may be a more effective and efficient option for management of nodular thyroid disease. |
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Authors:
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Philip M Spanheimer; Sonia L Sugg; Geeta Lal; James R Howe; Ronald J Weigel |
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Publication Detail:
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Type: Journal Article Date: 2011-01-19 |
Journal Detail:
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Title: Annals of surgical oncology Volume: 18 ISSN: 1534-4681 ISO Abbreviation: Ann. Surg. Oncol. Publication Date: 2011 Jun |
Date Detail:
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Created Date: 2011-05-05 Completed Date: 2011-08-30 Revised Date: 2012-01-11 |
Medline Journal Info:
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Nlm Unique ID: 9420840 Medline TA: Ann Surg Oncol Country: United States |
Other Details:
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Languages: eng Pagination: 1729-33 Citation Subset: IM |
Affiliation:
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Department of Surgery, University of Iowa Carver College of Medicine, Iowa City, IA, Iowa. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Aged, 80 and over Biopsy, Fine-Needle Child Child, Preschool Female Follow-Up Studies Humans Male Middle Aged Neoplasm Recurrence, Local / prevention & control* Retrospective Studies Survival Rate Thyroid Neoplasms / pathology, surgery*, ultrasonography Thyroidectomy* Thyrotropin Treatment Outcome Young Adult |
| Chemical | |
Reg. No./Substance:
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9002-71-5/Thyrotropin |
| Comments/Corrections | |
Comment In:
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Ann Surg Oncol. 2011 Dec;18 Suppl 3:S308; author reply S309
[PMID:
21748245
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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