Journal
ENT-EAR NOSE & THROAT JOURNAL
Volume 101, Issue 10, Pages 657-659Publisher
SAGE PUBLICATIONS INC
DOI: 10.1177/0145561320982695
Keywords
papillary thyroid cancer; thyroid lobectomy; parathyroid adenoma; total thyroidectomy
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Current treatment guidelines recommend surgical excision of papillary thyroid carcinoma. The specific surgical treatment, including thyroid lobectomy, total thyroidectomy, and neck dissection, is determined by disease extent and tumor cytology. Surgeons face a surgical dilemma when incidentally discovering papillary thyroid carcinoma during another surgery due to lack of information. Short- and long-term surgical morbidities, as well as individual patient factors, must be considered when deciding on the treatment approach.
Current treatment guidelines recommend surgical excision of papillary thyroid carcinoma. However, the precise surgical treatment, including thyroid lobectomy, total thyroidectomy, and the need for neck dissection, is dictated by disease extent and tumor cytology. Incidental papillary thyroid carcinoma discovered during another surgery therefore presents a surgical conundrum due to lack of information. Surgeons must consider short- and long-term surgical morbidities, as well as individual patient factors, when deciding how to treat an unexpected thyroid carcinoma.
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