22 December 2020: Clinical Research
Comparison of Outcomes Following Thyroid Isthmusectomy, Unilateral Thyroid Lobectomy, and Total Thyroidectomy in Patients with Papillary Thyroid Microcarcinoma of the Thyroid Isthmus: A Retrospective Study at a Single Center
Zhiqiang Gui ABCDEF , Zhihong Wang AG* , Jingzhe Xiang C , Wei Sun ACDG , Liang He A , Wenwu Dong A , Jiapeng Huang A , Dalin Zhang A , Chengzhou Lv A , Yuan Qin A , Ting Zhang A , Liang Shao A , Ping Zhang A , Hao Zhang ADOI: 10.12659/MSM.927407
Med Sci Monit 2020; 26:e927407
Table 1 Clinicopathological features of 70 isthmus PTC* patients.
| Clinicopathological features | Total (n=70) (%) | |
|---|---|---|
| Sex | Males | 7 (10.0) |
| Females | 63 (90.0) | |
| Age(years) | Median age (range) | 47 (18–70) |
| 54 (77.1) | ||
| ≥55 | 16 (22.9) | |
| Tumor size (mm) | Median size | 11.2 |
| ≤10mm | 29 (41.4) | |
| >10mm | 41 (58.6) | |
| Lymph node metastasis | Yes | 17 (24.3) |
| Prelaryngeal lymph node | 13 (18.6) | |
| Pretracheal lymph node | 13 (18.6) | |
| Paratracheal lymph node | 13 (18.6) | |
| No | 53 (75.7) | |
| Type of surgery | Isthmusectomy | 27 (38.6) |
| Unilateral lobectomy | 20 (28.6) | |
| Total thyroidectomy | 23 (32.9) | |
| Location | Center of isthmus | 31 (44.3) |
| Isthmus trend to one side | 39 (55.7) | |
| T stage | T1a | 26 (37.1) |
| T1b | 36 (51.4) | |
| T2 | 4 (5.7) | |
| T3b | 2 (2.9) | |
| T4a | 2 (2.9) | |
| Hashimoto’s thyroiditis | Yes | 18 (25.7) |
| No | 52 (74.3) | |
| Recurrence | Yes | 2 (2.9) |
| No | 68 (97.1) | |
| Extrathyroidal extension | Yes | 6 (8.6) |
| Strap muscle | 4 (5.7) | |
| Trachea | 1 (1.4) | |
| Recurrent laryngeal nerve | 1 (1.4) | |
| No | 64 (91.4) | |
| Median follow-up months (range) | 41.5 (7–94) | |
| * PTC – papillary thyroid carcinoma. | ||