The role of operations for distantly metastatic well-differentiated thyroid carcinoma Journal Article
| Authors: | Stojadinovic, A.; Shoup, M.; Ghossein, R. A.; Nissan, A.; Brennan, M. F.; Shah, J. P.; Shaha, A. R. |
| Article Title: | The role of operations for distantly metastatic well-differentiated thyroid carcinoma |
| Abstract: | Background. The role of operations for distantly metastatic well-differentiated thyroid carcinoma (DTC) is poorly defined. We review the indications for operation for metastatic DTC. Methods. This study consists of 260 patients treated between 1941 and 2000 for metastatic DTC, of which 59 (23%) underwent operations. Median follow-up was 7 years (range, 1 to 49 years). Metastases were identified clinically in 157 (60%) and radiologically in 103 (40%) patients. The disease-specific survival was estimated with the Kaplan-Meier method. Results. Twenty-four patients (9%) were disease-free with resection. Palliative resection was indicated for painful bone metastasis, pathologic fracture, or symptomatic spinal cord involvement (35/260, 14 %). Patients who could undergo complete metastasectomy survived longer than those having incomplete/palliative resection or nonoperative treatment for metastatic DTC (5-year disease-specific survival, 78% vs 43% vs 46%, P = .03). Conclusions. Solitary distant metastasis of DTC amenable to complete resection is infrequent. Complete metastasectomy may be associated with improved survival for localized distant disease. Palliative resection is indicated to improve quality of life for symptomatic distant metastasis. |
| Keywords: | adolescent; adult; cancer survival; child; aged; aged, 80 and over; bone neoplasms; child, preschool; middle aged; survival analysis; cancer surgery; retrospective studies; major clinical study; bone metastasis; treatment indication; palliative care; metastasis; quality of life; pain; neoplasm recurrence, local; palliative therapy; cohort analysis; carcinoma; thyroid carcinoma; thyroid neoplasms; soft tissue neoplasms; humans; human; male; female; priority journal; article |
| Journal Title: | Surgery |
| Volume: | 131 |
| Issue: | 6 |
| ISSN: | 0039-6060 |
| Publisher: | Elsevier Inc. |
| Date Published: | 2002-06-01 |
| Start Page: | 636 |
| End Page: | 643 |
| Language: | English |
| DOI: | 10.1067/msy.2002.124732 |
| PUBMED: | 12075176 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | Export Date: 14 November 2014 -- Source: Scopus |
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