BACKGROUND: Total thyroidectomy is a well-established surgical approach for the management of @entity3557 ( @entity3557 ). However, the best surgical approach for @entity7172 is nowadays still debated. Both total thyroidectomy and simple lobectomy are used. We report the experience of a single University center in the treatment of @entity1374 . METHODS: A retrospective analysis on all @entity1 who underwent thyroid surgery at our institution over a 24-year period (1991-2015) was performed. @entity1 were grouped according to whether they received total thyroidectomy (Group 1) or lobectomy (Group 2). Follow-up was made by routine clinical and ultrasound examination. Specific outcomes such as recurrence and need for reoperation as well as complications (transient vocal @entity912 and @entity3747 ) were analyzed. RESULTS: During the study period 880 @entity1 underwent surgery for @entity3557 . Group 1 and 2 consisted, respectively, of 756 and 124 @entity1 . A micro @entity3557 (<10  mm) was present in 251 and 69 specimen of Group 1 and 2. No evidence of disease recurrence in the follow-up was reported in @entity1 with microPTC in Group 1 and in 57 @entity1 of Group 2. In the remaining 12 @entity1 completion thyroidectomy was carried out due to ultrasound findings of contralateral nodules (10), lymphadenopathy (1), and capsular invasion (1). Five of these @entity1 had a contralateral @entity1377 on final histopathologic examination. Thus recurrence rate for @entity1 of Group 2 was 7.3  %. Morbidity rates were, respectively, for Group 1 and 2: @entity129 81 and 5 (11 vs. 7.3  %, p  =  ns), @entity261 ( @entity460  <2.00  mmol/L) 137 (18.6  %) and 0 (p  <  0.0001). Three of the 12 @entity1 of Group 2 undergoing further surgery had a @entity261 . CONCLUSIONS: Thyroid lobectomy is an effective surgical strategy to manage @entity7172 with low complications. Routine completion thyroidectomy is not mandatory. Appropriate selection excluding high-risk @entity1 is of paramount importance in order to achieve the best results.

Partial Thyroidectomy for XXXX : Is Completion Total Thyroidectomy Indicated?

@entity3557 :: ('MESH:C536915', 'Disease') :: ['PTC', 'papillary thyroid cancer'] @entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity3747 :: ('MESH:D006996', 'Disease') :: ['hypocalcemia'] @entity1377 :: ('MESH:D002291', 'Disease') :: ['papillary carcinoma'] @entity129 :: ('MESH:D003389', 'Disease') :: ['transient nerve palsy'] @entity261 :: ('MESH:D007011', 'Disease') :: ['transient hypoparathyroidism'] @entity460 :: ('MESH:D002118', 'Chemical') :: ['Calcium'] @entity7172 :: ('MESH:C563277', 'Disease') :: ['papillary microcarcinoma', 'papillary microcarcinomas'] @entity912 :: ('MESH:D010243', 'Disease') :: ['cord paralysis'] @entity1374 :: ('MESH:D013959', 'Disease') :: ['thyroid microcarcinoma']
@entity7172 :: (MESH:C563277,Disease) :: ['Papillary Thyroid Microcarcinoma']
