New perspectives in the management of low-risk thyroid cancer. Experience with thyroid lobectomy in a cohort of 114 patients

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Pedro A. Saco
Ana Voogd
Alejandro Beguerí Buquet
Pedro Valdez
Gerardo Russier
María E. Matsuda
Nicolás Seffino
Jorgelina Guerra

Abstract

Background: The treatment of low-risk differentiated thyroid cancer (DTC) is still a matter of debate. Over the past few decades, there has been a shift towards a more personalized approach, tailored to the individual risks of each patient and tumor. The current practice guidelines recommend lobectomy in selected patients, with low risk of recurrence.
Objective: To describe the results of thyroid lobectomy in a cohort of patients with DTC with low risk of recurrence.
Material and methods: We conducted a descriptive and observational study. The medical records of patients with DTC who underwent thyroid lobectomy between January 2015 and April 2023 were retrospectively reviewed.
Results: A total of 114 patients were operated on; mean age was 44 ± 12 years and 90 (79%) were women. The median tumor size was 9.4 mm (IQR 25-75% 7-13 mm), and 103 nodules (90%) were solid on ultrasound. Only 2 patients with vascular invasion involving > 4 vessels required completion thyroidectomy. There were no major complications and only one patient developed temporary recurrent laryngeal palsy. There were no locoregional or distant recurrences during mean follow-up of 33.4 months.
Conclusion: Thyroid lobectomy for low-risk DTC had low morbidity and no recurrences in the series presented. The rigorous selection of patients and the interaction of a multidisciplinary team are considered essential for the successful implementation of this therapeutic approach.

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How to Cite
Saco, P. A., Voogd, A., Beguerí Buquet, A., Valdez, P., Russier, G., Matsuda, M. E., Seffino, N., & Guerra, J. (2024). New perspectives in the management of low-risk thyroid cancer. Experience with thyroid lobectomy in a cohort of 114 patients. Revista Argentina De Cirugía, 116(2), 95–105. Retrieved from https://revista.aac.org.ar/index.php/RevArgentCirug/article/view/654
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