AI Article Synopsis
- * Researchers reviewed medical records of 47 patients, finding that most underwent total thyroidectomy, with a median time to surgery of 52 months and a follow-up period averaging 96 months.
- * Results indicated a 5-year disease-free survival rate of 96%, showing that patients who had delayed treatment had outcomes comparable to those who received immediate surgery.
Article Abstract
Objectives/hypothesis: In the present study we sought to define the outcome of patients with delay in diagnosis and treatment (>1 year) of well-differentiated thyroid carcinoma (WDTC) due to initial benign cytology (IBC).
Study Design: Retrospective medical record review and analysis of survival outcomes.
Methods: The records of 47 patients with delayed diagnosis of thyroid cancer were reviewed. In 38, surgery was performed for growing nodules and in nine due to malignant cytology during follow-up. Median time to delayed surgery was 52 months (range, 13-205 months). Multivariate analysis was performed to assess variables associated with outcome.
Results: Most patients (32/47) underwent total thyroidectomy, whereas 15/47 had hemithyroidectomy. With a median follow-up of 96 months (range, 12-184 months), the 5-year disease-free survival of these patients was 96%. Multivariate analysis showed that the outcome of these patients was not statistically different than that of patients (n = 162) who underwent immediate surgery for similar disease.
Conclusions: We show that patients with delayed diagnosis and treatment for WDTC due to IBC have excellent outcome.
Level Of Evidence: 4.
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| http://dx.doi.org/10.1002/lary.24744 | DOI Listing |
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