Abstract
Background: There is a controversy regarding management of low- risk well differentiated thyroid carcinoma (WDTC) between total/ near total thyroidectomy (TT) and hemi- thyroidectomy (HT) due to the excellent prognosis and the indolent course of the disease. This study aimed to review the outcome of TT in comparison with HT in management of low- risk WDTC.
Patients and methods: A retrospective evaluation identified 156 patients with low- risk WDTC between 2000 and 2011 comparing mainly the outcomes after either TT or HT.
Results: Mean age was 42.8-+4.12 years, of these 18% were males and 82% were females. Permanent recurrent laryngeal nerve palsy (RLNP) and permanent hypocalcemia were significantly higher in TT group (P=0.035) and (P=0.049) respectively. Mean follow up was 8.5 years. Recurrence rate was significantly higher in HT group (0.002). Completion thyroidectomy related morbidity was more in HT group than the primary surgery (P=0.001). At the time of the last follow up, 94.2% of TT group, and 88.9% of HT group were alive.
Conclusion: TT, with postoperative I131 and thyroid hormone supplementation was associated with more favorable outcome tha HT alone.