Clinical Evaluation of Recurrence after Initial Surgical Therapy for Differentiated Thyroid Carcinoma.
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From 1980 to 1989, 225 patients had initial surgical therapy for differentiated thyroid carcinoma in our department. In this series, 21 patients had clinical recurrences in the neck and 20 patients had lymph node metastasis which were mainly outside the region of the neck dissection; one of these also had local recurrence.The incidence of recurrence was higher in the patients with JN0, especially without neck dissection. The incidence of recurrence was higher in the patients with t4 treated with total lobectomy.We conclude that prophylactic neck dissection around the thyroid is required in patients without lymph node metastasis. Total lobectomy is indicated for patients with t1 and t2.We would select total thyroidectoy for patients with t3 and t4.
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