Author/Authors :
abboud, bassam saint-joseph university - university hospital hôtel-dieu de france, faculty of medicine - department of general surgery, Beirut, lebanon , abou zeid, hicham saint-joseph university - university hospital hôtel-dieu de france, faculty of medicine - department of anesthesiology, Beirut, lebanon , rohbane, rana saint-joseph university - university hospital hôtel-dieu de france, faculty of medicine - department of general surgery, Beirut, lebanon , jabbour, hicham saint-joseph university - university hospital hôtel-dieu de france, faculty of medicine - department of anesthesiology, Beirut, lebanon , haddad, amine saint-joseph university - university hospital hôtel-dieu de france, faculty of medicine - department of otorhinolaryngology, Beirut, lebanon , tabchy, bassam saint-joseph university - university hospital hôtel-dieu de france, faculty of medicine - department of otorhinolaryngology, Beirut, lebanon
Abstract :
Objectives : To evaluate the surgical approaches and prognosis of thyroid carcinomas invading the adjacent structures. Methods : The medical records of 197 patients with a pathology diagnosis of thyroid cancer were retrospectively reviewed. Results : Seventeen patients (9%) with thyroid carcinoma invading surrounding structures were included. Patients were initially divided into two groups on the basis of tumor histology: papillary (Group A) and nonpapillary (Group B). Then patients were divided into three groups • Group 1 : patients who underwent total thyroidectomy • Group 2 : patients who underwent total thyroidectomy with shaving resection • Group 3 : patients who underwent total thyroidectomy with extensive surgery. All patients who didn’t survive were more than 45 years old. The survival rate was statistically better in group A compared to group B (92% versus 20%). The survival rate decreased from Group 1 through Group 3, without reaching statistical significance. Conclusions : Age and histologic type are important in determining the prognosis of locally invading thyroid cancer.
NaturalLanguageKeyword :
thyroid cancer , invasion , age , surgery , prognosis
