Incidental thyroid papillary microcarcinoma: survival and follow‐up

Objectives/Hypothesis The aim was to study the survival of incidental thyroid papillary microcarcinoma patients treated with surgery for benign thyroid disease to validate absence of oncological follow‐up and reduce unnecessary health expenses. Study Design Retrospective cohort study. Methods We ana...

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Veröffentlicht in:The Laryngoscope 2019-07, Vol.129 (7), p.1722-1726
Hauptverfasser: Gorostis, Sophie, Raguin, Thibaut, Schneegans, Olivier, Takeda, Catherine, Debry, Christian, Dupret‐Bories, Agnès
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container_end_page 1726
container_issue 7
container_start_page 1722
container_title The Laryngoscope
container_volume 129
creator Gorostis, Sophie
Raguin, Thibaut
Schneegans, Olivier
Takeda, Catherine
Debry, Christian
Dupret‐Bories, Agnès
description Objectives/Hypothesis The aim was to study the survival of incidental thyroid papillary microcarcinoma patients treated with surgery for benign thyroid disease to validate absence of oncological follow‐up and reduce unnecessary health expenses. Study Design Retrospective cohort study. Methods We analyzed patient's files and interviewed 252 patients by telephone whose cases were submitted to the multidisciplinary meeting of thyroid pathology in Strasbourg, France, for incidental thyroid papillary microcarcinoma without clinical lymph node involvement, between January 1996 and December 2012. Results Thirteen patients (5.8%) died while the data were being collected; however, none of the deaths were due to the thyroid pathology, and no patients showed signs of relapse of the thyroidectomy or cervical lymph node level. Conclusions Our retrospective study shows that patients with incidental localized thyroid papillary microcarcinoma who underwent surgery without radioactive iodine treatment have an identical survival compared to the general population at the same age to validate absence of oncological follow‐up and reduce unnecessary health expenses. Level of Evidence 3 Laryngoscope, 129:1722–1726, 2019
doi_str_mv 10.1002/lary.27664
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Study Design Retrospective cohort study. Methods We analyzed patient's files and interviewed 252 patients by telephone whose cases were submitted to the multidisciplinary meeting of thyroid pathology in Strasbourg, France, for incidental thyroid papillary microcarcinoma without clinical lymph node involvement, between January 1996 and December 2012. Results Thirteen patients (5.8%) died while the data were being collected; however, none of the deaths were due to the thyroid pathology, and no patients showed signs of relapse of the thyroidectomy or cervical lymph node level. Conclusions Our retrospective study shows that patients with incidental localized thyroid papillary microcarcinoma who underwent surgery without radioactive iodine treatment have an identical survival compared to the general population at the same age to validate absence of oncological follow‐up and reduce unnecessary health expenses. 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subjects Adult
Aged
Aged, 80 and over
Carcinoma, Papillary - mortality
Carcinoma, Papillary - surgery
Endocrinology and metabolism
Female
France
Health risk assessment
Human health and pathology
Humans
Incidental Findings
Life Sciences
Lymphatic system
Male
Middle Aged
Retrospective Studies
survival
Survival Analysis
Thyroid gland
thyroid lobo‐isthmectomy
Thyroid Neoplasms - mortality
Thyroid Neoplasms - surgery
Thyroid papillary microcarcinoma
total thyroidectomy
title Incidental thyroid papillary microcarcinoma: survival and follow‐up
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