The effects of reoperations due to inadequate treatment in differentiated thyroid cancers on morbidity, mortality and costs

H. Acar, Arkın Akalin
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Abstract

Although the incidence of differentiated thyroid cancer (DTC) is high, mortality is quite low. In low and intermediate risk DTCs, reoperations due to inadequate treatment can increase morbidity, mortality, and costs in patients. In our study, current articles published on this subject were reviewed and evaluated. According to our results, morbidity, mortality and costs increase due to inadequate treatment in DTCs. Therefore, even in low and intermediate risk DTC cases, adequate surgeries such as total or near total thyroidectomy should be performed by high volume endocrine surgeons and moderate TSH suppression should be applied in all cases.
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分化型甲状腺癌治疗不充分导致的再手术对发病率、死亡率和费用的影响
分化型甲状腺癌(DTC)虽然发病率高,但死亡率很低。在低风险和中等风险的dtc中,由于治疗不充分而进行的再手术会增加患者的发病率、死亡率和费用。在我们的研究中,回顾和评估了目前发表的关于这一主题的文章。根据我们的研究结果,由于dtc治疗不充分,发病率、死亡率和费用增加。因此,即使在低风险和中风险的DTC病例中,也应由大容量内分泌外科医生进行充分的手术,如全甲状腺或近全甲状腺切除术,并应在所有病例中应用适度的TSH抑制。
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