Completion thyroidectomy in the management of well-differentiated thyroid carcinoma

Mark Wax, T. D R Briant

Research output: Contribution to journalArticle

45 Citations (Scopus)

Abstract

Completion thyroidectomy is the removal of any thyroid tissue that remains after less than total thyroidectomy. At our center, completion thyroidectomy is used when, on permanent sectioning, a frozen section diagnosis is revised from benign to malignant. We reviewed our experience with completion thyroidectomy to examine its indications and complications. We found that the carcinoma was misdiagnosed in 32 of 244 (13%) of cases. Twenty-five of these were initially designated follicular adenomas. The completion proved to be no more technically difficult than a routine hemithyroidectomy. There was one case of permanent hypoparathyroidism (3%). Transient vocal cord palsy occurred in one patient (3%) and transient hypocalcemia occured in five patients (15%). Complete recovery occurred in all six of these patients. Focal areas of residual carcinoma were found in 8 of 32 (25%) of glands removed at completion. We found completion thyroidectomy to be a safe procedure with minimal morbidity. We recommend its use in those instances of well-differentiated thyroid carcinoma in which the frozen section diagnosis differs from the permanent section.

Original languageEnglish (US)
Pages (from-to)63-68
Number of pages6
JournalOtolaryngology - Head and Neck Surgery
Volume107
Issue number1
StatePublished - 1992
Externally publishedYes

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Thyroidectomy
Thyroid Neoplasms
Frozen Sections
Carcinoma
Vocal Cord Paralysis
Hypoparathyroidism
Hypocalcemia
Diagnostic Errors
Adenoma
Thyroid Gland
Morbidity

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Completion thyroidectomy in the management of well-differentiated thyroid carcinoma. / Wax, Mark; Briant, T. D R.

In: Otolaryngology - Head and Neck Surgery, Vol. 107, No. 1, 1992, p. 63-68.

Research output: Contribution to journalArticle

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