Rodríguez FZ, Pierre-Charlot Dorimain, Pereira DOL, Falcón VGC, Ochoa MG

Language: Spanish
References: 25
Page: 503-515
PDF size: 285.95 Kb.

ABSTRACT

The thyroid nodule is frequent in the clinical practice as in the surgical one. The treatment offering better possibilities seems to be hemithyroidectomy for benign unilateral tumours and total thyroidectomy for malignancies, with lymphadenectomy in case of ganglion metastasis; which are surgeries with little morbidity when carried out by experienced surgeons. The postsurgical suppressive treatment with thyroid hormones can stop the tumorous progress, can induce the metastasis regression and can increase survival. On the other hand, in the recurrent and metastatic tumours which fix no iodine, the external radiotherapy and the auxiliary chemotherapy are used. Taking into account that thyroid malignant neoplasias are potentially curable and free of sequels, some approaches are exposed on this respect in this work.

REFERENCES

1. Bearhs OH, Tachousky FG. Surgery of the thyroid gland. Head and neck surgery. New York: Harper Row; 1974.p.1-9.

2. Pedroza Ballesteros A. Manejo del nódulo tiroideo: revisión de la literatura. Rev Colomb Cir. 2008;23(2):28-37.

3. Bhargav PR, Mishra A, Agarwal G, Agarwal A, Pradhan PK, Gambhir S, et al. Longterm outcome of differentiated thyroid carcinoma: experience in a developing country. World J Surg. 2010;34:40–7.

4. Mazzaferri EL. Management of low-risk differentiated thyroid cancer. Endocr Pract. 2007;13:498.

5. Pérez JA. Cáncer de tiroides pediátrico: serie de casos. Rev Chil Cir. 2009:61(1):21-6.

6. Pulcrano M, Boukheris H, Talbot M, Caillou B, Dupuy C, Virion A, et al. Poorly differentiated follicular thyroid carcinoma: prognostic factors and relevance of histological classification. Thyroid. 2007;17(7):639-46.

7. Jemal A, Siegel R, Ward E, Murray T, Xu J, Thun MJ. Cancer statistics. Cancer J Clin. 2007;57:43–66.

8. Riesco Eizaguirre G, Santisteban P. New insights in thyroid follicular cell biology and its impact in thyroid cancer therapy. Endocrine Related Cancer. 2007;14:957–77.

9. Iribarren O, Velasco N, Huidobro P, Núñez H, Villalón M, Madariaga J, et al. Evolución y factores de pronóstico en cáncer diferenciado de tiroides. Rev Chilena Cir. 2009;61(2):136-41.

10. Zúñiga S, Sanabria A. Complicaciones y recurrencia en el tratamiento del carcinoma papilar de tiroides. Experiencia del Instituto Nacional de Cancerología. Rev Colomb Cir. 2007; 22(3):68-76.

11. Ortega Peñate JA. Adenoma folicular del tiroides, dilema diagnóstico terapéutico. Rev Med Electrón. 2006 [citado 1 Jul 2014];28(4):988-96.

12. Smallridge RC, Marlow LA, Copland JA. Anaplastic thyroid cancer: molecular pathogenesis and emerging therapies. Endocr Related Cancer. 2009;16(1):17–44.

13. Lobos A, Villagrán D, Opazo C, Cardemil F. Cáncer anaplásico de tiroides de manejo quirúrgico. Rev Chilena Cir. 2009;61(5):423-8.

14. Cooper DS, Doherty GM, Haugen BR. Revised American Thyroid Association management guidelines for patients with thyroid nodules and differentiated thyroid cancer. Thyroid. 2009;19:1167.

15. Mitchell I, Livngston EH, Chang AY. Trends in thyroid cancer demographics and surgical therapy in the United States. Surgery. 2007;142:823-8.

16. Maser C, Donovan P, Udelsman R. Thyroid isthmusectomy: a rare used but simple, safe, and efficacious operation. J Am Coll Surg. 2007;204:512–4.

17. Schönberger J, Marienhagen J, Agha A. Papillary microcarcinoma and papillary cancer of the thyroid ≤ 1 cm: modified definition of the WHO and the therapeutic dilemma. Nuklearmedizin. 2007;46:115–20.

18. Mercante G, Frasoldati A, Pedroni Cl. Prognostic factors affecting neck lymph node recurrence and distant metastasis in papillary microcarcinoma of the thyroid: results of a study in 445 patients. Thyroid. 2009;19:707.

19. American Cancer Society. Cancer facts and figures, 2008 [citado 1 Jul 2014].

20. Granados M. La cirugía en el tratamiento multimodal del cáncer diferenciado de tiroides. Cancerol. 2009;4:93-102.

21. Woyach JA, Shah MH. New therapeutic advances in the management of progressive thyroid cancer. Endocr Related Cancer. 2009;16:715–31.

22. Monchik JC, Donatini G, Lannuccilli J, Dupuy DE. Radiofrequency ablation and percutaneous ethanol injection treatment for recurrent local and distant welldifferentiated thyroid carcinoma. Ann Surg. 2006;244:296–304.

23. Rodríguez García R, Rodríguez Marzo I, Arias Domínguez M, Brea López R, Infante Carbonell MC. Diagnóstico y tratamiento de nódulos de la glándula tiroides. Hospital Oncológico Provincial “Conrado Benítez”. MEDISAN. 2006 [citado 1 Jul 2014];10(1):67-78.

24. Orhan Alimoglu. Parálisis del nervio laríngeo recurrente después de cirugía tiroidea. Rev Chilena Cir. 2010;62(2):203.

25. Moley JF, DeBenedetti MK. Patterns of nodal metastases in palpable medullary thyroid carcinoma: recommendations for extent of node dissection. Ann Surg. 1999;229(6):880-7.