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Thyroid cancer surgery during the coronavirus disease 2019 pandemic: perioperative management and oncological and anatomical considerations.
Spartalis, Eleftherios; Plakopitis, Nikolaos; Theodori, Maria Anna; Karagiannis, Sotirios P; Athanasiadis, Dimitrios I; Spartalis, Michael; Boutzios, Georgios; Paschou, Stavroula A; Nikiteas, Nikolaos; Troupis, Theodore.
  • Spartalis E; Laboratory of Experimental Surgery & Surgical Research 'N S Christeas', Medical School, National & Kapodistrian University of Athens, Athens, 11527, Greece.
  • Plakopitis N; Department of Anatomy, Medical School, National & Kapodistrian University of Athens, Athens, 11527, Greece.
  • Theodori MA; Laboratory of Experimental Surgery & Surgical Research 'N S Christeas', Medical School, National & Kapodistrian University of Athens, Athens, 11527, Greece.
  • Karagiannis SP; Laboratory of Experimental Surgery & Surgical Research 'N S Christeas', Medical School, National & Kapodistrian University of Athens, Athens, 11527, Greece.
  • Athanasiadis DI; Laboratory of Experimental Surgery & Surgical Research 'N S Christeas', Medical School, National & Kapodistrian University of Athens, Athens, 11527, Greece.
  • Spartalis M; Department of Surgery, Indiana University School of Medicine, Indianapolis, IN 46202, USA.
  • Boutzios G; Laboratory of Experimental Surgery & Surgical Research 'N S Christeas', Medical School, National & Kapodistrian University of Athens, Athens, 11527, Greece.
  • Paschou SA; Department of Pathophysiology, Endocrine Unit, Medical School, National & Kapodistrian University of Athens, Athens, 11527, Greece.
  • Nikiteas N; Department of Clinical Therapeutics, Alexandra Hospital, Medical School, National & Kapodistrian University of Athens, Athens, 11528, Greece.
  • Troupis T; Second Department of Propaedeutic Surgery, Medical School, National & Kapodistrian University of Athens, Athens, 11527, Greece.
Future Oncol ; 17(32): 4389-4395, 2021 Nov.
Article in English | MEDLINE | ID: covidwho-1372054
ABSTRACT
The coronavirus disease 2019 (COVID-19) pandemic has changed many aspects of our everyday lives and medical practice, including oncology treatment; thyroid cancer surgery is not an exception. The reported number of fine-needle aspirations performed during the first semester of 2020 was significantly reduced. Poorly differentiated, medullary and anaplastic thyroid tumors are considered important indications for immediate surgical intervention. By contrast, most well-differentiated carcinomas present slow growth, and thus surgery can be deferred for a short period of time during which patients are under active surveillance. Thyroid surgeries have decreased during the COVID-19 pandemic. Furthermore, prior to any intervention, negative COVID-19 status - with the use of a nasopharyngeal swab and reverse transcription PCR assay as the gold standard and chest CT scan as a complementary modality in some cases - must be confirmed to achieve a COVID-free pathway. Thorough preoperative assessment regarding both oncological and anatomical aspects should be performed to identify optimal timing for safe management.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Primary Prevention / Thyroidectomy / Thyroid Neoplasms / Triage / Time-to-Treatment Type of study: Diagnostic study / Observational study Limits: Humans Language: English Journal: Future Oncol Year: 2021 Document Type: Article Affiliation country: Fon-2021-0585

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Primary Prevention / Thyroidectomy / Thyroid Neoplasms / Triage / Time-to-Treatment Type of study: Diagnostic study / Observational study Limits: Humans Language: English Journal: Future Oncol Year: 2021 Document Type: Article Affiliation country: Fon-2021-0585