Surgical outcomes of thyroid cancer patients in a tertiary cancer center in India

Indian Journal of Cancer
Anuja DeshmukhAnil D'Cruz

Abstract

Surgery is the mainstay in the management of thyroid cancer. Surgical outcomes need to be tempered against the excellent prognosis of the disease. This study aims to study the surgical outcomes including the 30-day morbidity and 5-year survival of thyroid cancer patients. Retrospective analysis of a prospectively maintained surgical database in a tertiary cancer center in India. We analyzed 221 surgically treated patients in the year 2012. Used IBM SPSS 24.0 (Armonk, NY) with p < 0.05. The median age was 40 years with predominantly papillary thyroid carcinoma (55%). Localized disease in 47% of cases, locoregional disease in 42.5% and distant metastasis in 10.2% of cases at presentation was noted. Treatment naïve patients were 71% and revision surgeries were done in 29% patients. Extended thyroidectomy constituted 11% of the surgeries. Temporary hypocalcemia was seen in 30.8% of patients, 5% requiring intravenous calcium supplementation. Vocal cord palsy as per nerve at risk and chyle leak were seen in 4.5% and 3.1%, respectively. Aggressive histology, extended thyroidectomy, and inadvertent parathyroidectomy were significant factors associated with complications. Five year estimated overall survival with median follow-up of 50 ...Continue Reading

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Citations

Apr 17, 2020·The Journal of Clinical Endocrinology and Metabolism·Chiara PanatoAju Mathew

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