Contemporary trends in extent of surgery for differentiated thyroid cancer with extrathyroidal extension.

ABSTRACT:

Objective

Although lobectomy is acceptable for patients with small, low-risk differentiated thyroid cancer (DTC), gross extrathyroidal extension (ETE) remains an indication for total thyroidectomy (TT). Here we investigate evolving trends in extent of surgery for ​+ ​ETE DTC.

Methods

Patients with +ETE DTC who underwent resection from 2010 to 2020 were identified using the National Cancer Database. The primary outcome was performance of TT versus lobectomy.

Results

Among 5851 patients, most were female (79.7%), white (80.0%), and had minimal ETE (91.8%). Ninety-two percent of patients received TT. Year of treatment was influential (p ​< ​0.001), with increasing lobectomy rates in later years. On multivariable analyses, a decreased likelihood of TT was seen in years 20

SUBMITTER: Montgomery KB 

PROVIDER: S-EPMC10922190 | biostudies-literature | 2024 Feb

REPOSITORIES: biostudies-literature