Criterios para la selección del tipo de tratamiento quirúrgico en cáncer de tiroides

Juan Valls; Aníbal Blanco; Salvador Tabacco; Francisco Tabacco; Oriana Cabrera; Yeri De Jesus; Yernilex Yareth

Authors

Juan Valls
Aníbal Blanco
Salvador Tabacco
Francisco Tabacco
Oriana Cabrera
Yeri De Jesus
Yernilex Yareth

Keywords:

Thyroid Diseases, surgery, thyroidectomy.

Abstract

Objective: to evaluate the procedure for the surgical management of the thyroid cancer and the criteria for the selection Patients and method: eighteen patients with cancer of thyroid programmed to surgical procedures. Results: the 83, 3% of the series was 45 years or more. No exist T1. Twelve patients were intermediate risk. Radiologic studies and the fine needle aspiration were the methods of evaluation preoperative. Total thyroidectomy was the most common surgery and the histology more frequent was papilar carcinoma. The neoplasies of 4cms or more, the frozen section and the findings in the operating room were be used to adapt the surgical plan in the 66,6% of the serie. Neck dissection was indicated in the clinics lymph nodes. Conclusions: the surgical extension depends of the tumoral size, the presence of cervical metastasis, the infiltration of adjacent structures and frozen sections. The thyroidectomy total with or without lymphadenectomy were the procedures more frequent, other intervention of salvage and palliative intention represents surgical options. The sanitary crisis determinates some problems in the therapeutic process

Downloads

Download data is not yet available.

References

Lai S, Mandel S, Weber R. Management of Thyroid Neoplasms, En: Cummings of otolaryngology head and neck surgery. Editor: Flint P, Haughey B. Sixth edition. 2015; Saunders; Vol II: p1901-1928.

Rossi R, Cady B. Diffrerentiated carcinoma of thyroid gland. En: Surgery of the thyroid and parathyroid glands. Editor: Cady B, Rossi R. Third edition 1991. Saunders; 14: p139-151.

Rodríguez-Griman O. Cáncer del tiroides. Gac Med Caracas. 2001; 109 (4): 468-487.

Mitchell AL. Management of thyroid cancer. United Kingdom. J laryn Oto. 2016;130(S2): S150-S160.

Valls J, Alford M, Brito E, Trevison L, Blanco A. Manejo quirúrgico del cáncer de tiroides. Vitae Academia Biomédica Digital. 2018; 75 (Julio- Septiembre).

Shah JP, Patel SG. Glandulas tiroides. Cirugía y oncología de cabeza y cuello. Tercera edición. St. Louis: Mosby; 2003. p395-437.

Garriga Garcia E, Brito E. Cirugía de la Tiroides. Un enfoque práctico. [Internet]. 2014; Disponible en: http://cirugiadelatiroides.blogspot.com/2014/06/cirugia-de-la-tiroides-un-enfoque.html

Nixon I, Shaha A, Patel S. Surgical diagnosis. Frozen section and the extent of surgery. Otol Clin N Am. 2014; 47: 519-528.

Boone R, Fan Ch,Hanna E. Well-differentiated carcinoma of the thyroid. Otol Clin N Am. 2003; 1: 69-85.

Dackiw A. Extent of surgery for differentiated thyroid cancer. Surg Clin N Am. 2004;84: 817-832.

Colina J, Pérez A, Mata J. Reunión de consenso en cáncer diferenciado del tiroides. Rev Ven Onc 2005; 17(4): 229-240.

Colina J, Mata J, Pinto Y. II Consenso de carcinoma diferenciado de tiroides. Rev Ven Onc. 2020; 32 (1): 41-76.

Ponce D. Catástrofe de la salud venezolana. Gac Med Caracas. 2019;127 (1): 1-4.

A.C. American Joint Committe on Cancer. AJCC cancer staging manual, ed. 7. New York: Springer, 2010.

Sha J, Loree T, Dhaiker D. Pronostic factors in differentiated carcinoma of the thyroid. Am J Surg. 1993; 166(4): 331-335.

Carty S. Consensus Statement on the Terminology of Central Neck Dissection for Thyroid Cancer. Thyroid. 2009; 19 (11): 1153-1158.

Stack B, Ferris R, Goldenberg D. American Thyroid Association Consensus Review and Statement Regarding the Anatomy, Terminology, and Rationale for Lateral Neck Dissection in Differentiated Thyroid Cancer. Thyroid. 2012;22 (5): 501-509.

Robbins T, Samant S, Ronen O. Neck Dissection. En: Flint P, Robbins T, Haughey B, Editores. Cummings, Otolaryngology, Head and Neck Surgery. 6ta edicion. Elsevier Saunders; 2015: 1837-1861.

Becker W. Pioneers in thyroid surgery. Ann Surg. 1977; 185(5): 493-504.

Mc Gurk. Head and neck cancer: historial review. Brit J Oral & Maxillofacial Surg. 2000 ;38 :209-220.

Valls J. Desarrollo de la cirugía de cabeza y cuello en Venezuela. Gac Med Caracas. 2020; 128 (2): 159-178.

Kim N, Lavertu P. Evaluation of a thyroid nodule. Oto Clin N Am. 2003;(1):17-32.

Vargas H, Herrera J, Meza I, Agredo V. Revista Medicina. 2015; 37(2): 109.

Bomeli S, LeBeau S. Evaluation of a Thyoid Nodule. Oto Clin N Am. 2010; 43: 229-238.

Price D, Wong R, Randolph G. Invasive thyroid cancer. Oto Clin N Am. 2008;4: 1155.

Affleck B. Surgical considerations and controversies in thyroid and parathyroid surgery. Oto Clin N Am. 2003;1: 153-179.

Lucena J. Carcinoma del tiroides. Rev Ven Oncol. 2005;17(3): 129-134.

Lucena J. Tiroidectomía de complemento vs tiroidectomía total. Revista Vitae Academia Biomédica Digital. 2007; 33:

Mora J. Diagnóstico y tratamiento del cáncer diferenciado de tiroides. Rev Esp Med Nucl Imagen Mol 2003;22:349-359.

Marcos J, Iglesias O, Delgado A. Cáncer diferenciado de tiroides. Endocrinol Nutr 2011;58:157-62.

Kebebew E, Clark O. Differentiated thyroid cancer: “complete” rational approach. World J Surg. 2000; 24: 942-951.

Cady B, Sedgwick CE. Risk Factor Analysis in Differentiated Thyroid Cancer. Cancer. 1979; 43: 810-820.

Hay ID, Bergstralh EJ. Predicting outcome in papillary thyroid carcinoma. Surgery. 1993; 114(6): 1050-1058.

Brierley JD. A comparison of different staging systems predictability of patient outcome. Cancer. 1997; 79(2): 2414-2423.

Moreno A, Benotto JA. Manejo de la patología quirúrgica tiroidea. Rev Ven Cirugía. 2005; 58 (3): 102-107.

Rossi R, Cady B. Surgery of thyroid gland. En: Surgery of the thyroid and parathyroid glands. Editor: Cady B, Rossi R. Third edition 1991. Saunders; 17: 187-214.

Lahey F, Hare H, Warren S. Carcinoma of the Thyroid. Ann Surg 1940; 112: 977.

Eckert Ch, Byars LT. The surgery of papillary carcinoma of the thyroid gland. Ann Surg 1952; July: 83-89.

Valls J, Lema MC. Historia de las incisiones cervicofaciales en cirugía oncológica. Rev Soc Ven Hist Med. 2018; 57.

Wang C. The anatomic basis of parathyroid surgery. Ann Surg. 1976; 183: 271-278.

Mc Henry Ch. Prophylactic Central Compartment Neck. Surg Clin N Am.2014: 529-540.

Sanders L, Rossi R. Surgical complications and their management. En: Surgery of the thyroid and parathyroid glands. Editor: Cady B, Rossi R. Third edition 1991. Saunders; 31: 326-336.

Clark OH. Total thyroidectomy. Ann Surg. 1982; 196: 361-367.

Steurer M, Passler C, Denk D. Advantages of recurrent laryngeal nerve identification in thyroidectomy and parathyroidectomy and the importance of preoperative and postoperative laryngoscopic examination in more than 1000 nerves at risk. Laryngoscope. 2002; 112: 124-133

Pai Sara. Reoperation for recurrent Well Differentiated Thyroid Cancer. Otol Clin N Am. 2010; 43:353-363.

Kebebew E, Ituarte P, Siperstein A. Medullary thyroid carcinoma: clinical characteristics, treatment, prognostic factors, and a comparison of staging systems. Cancer. 2000; 88: 1139-1148

Giuffrida D, Gharib H.Anaplastic thyroid carcinoma: current diagnosis and treatment. Ann Onc. 2000; 11: 1083-1089.