Objective Study and analyze the
benefits and risks of unilateral
thyroidectomy for 1 to 4 cm
thyroid cancer in primary
surgery.
Methods The
patients who underwent
thyroidectomy for 1 to 4 centimeters WDTC (May 2014 to June 2015) were retrospectively reviewed,and the
patients with preoperatively known high-
risk characteristics were excluded.One hundred and seventy-one
patients would have been eligible for lobectomy as the initial operation based on current American
Thyroid Association guidelines.The proportion of
patients who need
secondary surgery was estimated basing on pathological characteristics.Result In this group,49%
patients would have to undergo a
secondary surgery if they took lobectomy as the initial operation.Conclusions
Patients with 1 to 4 centimeters WDTC
who accept unilateral
thyroidectomy may take the
risk of
secondary surgery.
Surgeons and
patients need to balance the relative
benefits and risks of initial TT versus lobectomy before the operation.