Abstract
Patients with locally advanced thyroid carcinoma were studied to document survival, posttreatment vocal cord function, and dysphagia. A retrospective medical record review collected patient data recorded, including age, gender, and tumor-specific data. The outcome data collected included vocal cord function, presence of a tracheotomy or feeding tube, and the presence or absence of dysphagia. I studied 95 patients with surgically managed thyroid cancer. Forty-three patients had locally invasive disease and/or recurrent disease. During a median follow-up of 5 years, 18% of the patients with invasive cancer died of disease. The patients with completely resected invasive cancers had a significantly better survival rate than did the patients with microscopic residual disease. I conclude that complete resection of invasive disease provides a survival advantage and should be accomplished if speech and swallowing can be preserved. Most patients can obtain local control with minimal morbidity, and they rarely die of local disease.
Original language | English (US) |
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Pages (from-to) | 749-753 |
Number of pages | 5 |
Journal | Annals of Otology, Rhinology and Laryngology |
Volume | 113 |
Issue number | 9 |
DOIs | |
State | Published - Sep 2004 |
Keywords
- Invasive thyroid cancer
- Outcome
- Surgery
- Survival
- Treatment
ASJC Scopus subject areas
- Otorhinolaryngology