Surgery in the treatment of thyroid cancer.
Endocrinol Metab Clin North Am
; 19(3): 663-83, 1990 Sep.
Article
em En
| MEDLINE
| ID: mdl-2261911
ABSTRACT
Patients with thyroid cancers offer a clinical challenge to the physician and surgeon for both treatment and research. It is evident that preoperative, intraoperative, and postoperative management can all favorably affect the clinical outcome. This demands close cooperation among internist, endocrinologist, radiotherapist, and surgeon. As surgeons, we advocate total thyroidectomy for most thyroid cancers, when it can be done safely, because recurrences will be minimized and the subsequent use of radioactive iodine treatment is facilitated. In the hands of an experienced thyroid surgeon, total thyroidectomy can be accomplished with a minimum of risk. In the future we hope to be able to identify patients at highest risk for aggressive tumor behavior and select these patients for the most aggressive treatment plans. In other cases early detection by surveillance of patients at risk for thyroid cancer, particularly medullary thyroid cancer, has already favorably affected prognosis by allowing treatment at an earlier stage of disease.
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Base de dados:
MEDLINE
Assunto principal:
Neoplasias da Glândula Tireoide
Tipo de estudo:
Diagnostic_studies
/
Prognostic_studies
/
Screening_studies
Limite:
Female
/
Humans
/
Male
Idioma:
En
Ano de publicação:
1990
Tipo de documento:
Article