Surgical Treatment of Local Recurrence in Thyroid Cancer.
- Author:
Jae Bok LEE
1
Author Information
1. Department of Surgery, Korea University College of Medicine, Guro Hospital, Seoul, Korea. jbleemd@korea.ac.kr
- Publication Type:Review
- Keywords:
Thyroid neoplasms;
Neoplasm recurrence;
local
- MeSH:
Carcinoma;
Ethanol;
Humans;
Neck;
Recurrence;
Thyroid Gland;
Thyroid Neoplasms
- From:Journal of Korean Thyroid Association
2011;4(2):94-97
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The diagnosis and treatment of recurrent or persistent thyroid cancer can pose significant clinical dilemmas. The tumor generally has a relatively indolent biology; however, recurrent or persistent disease is not uncommon, although tumor-specific mortality is infrequent. Treatment options include 131I, surgical resection, and ethanol or radiofrequency ablation. Neck recurrences are common in papillary thyroid carcinoma (PTC). Surgical removal decreases the need for additional therapy and can minimize complications from local recurrence. Therefore, any patient with a local recurrence should be offered surgical resection. Since reoperations in the central neck can be difficult, it is essential that a surgeon have accurate preoperative imaging and extensive experience in thyroid surgery.
