Histologic parameters driving completion thyroidectomy for papillary thyroid carcinoma in a high-volume institution: A retrospective observational study - 13/12/24
, Andrea De Palma a , Carlo Enrico Ambrosini a , Lorenzo Fregoli a , Antonio Matrone b , Rossella Elisei b , Gabriele Materazzi a Abstract |
Background |
When the histological examination indicates papillary thyroid carcinoma (PTC), there is no unanimity on the need to proceed with completion thyroidectomy (CT). This study aims to assess the histologic parameters that influenced the decision to perform CT.
Materials and methods |
This study included PTC patients who underwent thyroid lobectomy between 2019 and 2022. Group A included patients who underwent thyroid lobectomy without further treatments, whereas Group B included those who underwent CT based on histological findings. Differences in terms of histologic parameters were analyzed.
Results |
Group A included 291 patients (68.3 %), whereas Group B 135 patients (31.7 %). Multivariate analysis identified associations between CT and tumor size (p < 0.001), aggressive variant (p = 0.009), and vascular invasion (p < 0.001). ROC curve analysis established a tumor size cut-off of 21 mm for CT. At ROC curve analysis, the cut-off number of aggressive factors required for CT was 2.
Conclusion |
A thorough comprehensive assessment encompassing all pathological characteristics might be necessary in case of PTC with aggressive histologic features after thyroid lobectomy.
Le texte complet de cet article est disponible en PDF.Graphical abstract |
Highlights |
• | Tumor size and vascular invasion are key factors for completion thyroidectomy. |
• | ROC analysis determined a 21 mm tumor size threshold for completion thyroidectomy. |
• | Completion thyroidectomy is recommended with at least two aggressive histologic parameters. |
• | Comprehensive histologic assessment is essential for completion thyroidectomy decisions. |
Keywords : Thyroid lobectomy, Papillary thyroid carcinoma, Tailored surgery, Completion Thyroidectomy
Plan
Vol 239
Article 116016- janvier 2025 Retour au numéro
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