Wire-guided localization and surgical resection of non-palpable recurrent of thyroid carcinoma: A STROBE-compliant, retrospective cohort study
Menée sur la période 2016-2020 auprès de 66 patients atteints d'un cancer de la thyroïde non palpable ou récidivant localement, cette étude analyse l'efficacité d'une chirurgie guidée par crochet ultrasonique par rapport à la procédure standard
Background: Information on hook-wire guided (HWG) surgery for non-palpable thyroid carcinoma (TC), locoregional-recurrent disease (LRRD) is scarce. We analyze the results of HWG resection compared with the traditional procedure. Methods: Cohort study performed between January 2016 and December 2020. Patients with TC and non-palpable LRRD were included. A “Standard cohort”, patients with non-HWG resection and “HWG cohort”, with HWG resection of LRRD were defined. Surgical morbidity, re-recurrent/progressive disease (RRD), and re-recurrence-free survival (RRFS) were defined. Results: 43 and 23 patients were assigned to the Standard or HWG cohorts, respectively. Complications occurred in 28 % and 17.3 % of cases, in control or HWG cohorts, respectively. HWG cohort, size of primary TC, 131I dose >150mCi, and thyroglobulin level >1ng/ml at detection of LRRD were associated with RRD. HWG cohort, thyroglobulin level at LRRD, 131I treatment, and dose were associated with RRFS. Conclusions: HWG surgery of non-palpable TC LRRD had improved results regarding surgical morbidity, RRD, and RRFS.