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November 1986

The Surgical Treatment of Thyroid Cancer: The Primary Disease

Author Affiliations

From the Department of Surgery, Division of Head and Neck Surgery, and the Jonsson Comprehensive Cancer Center, UCLA School of Medicine.

Arch Otolaryngol Head Neck Surg. 1986;112(11):1204-1206. doi:10.1001/archotol.1986.03780110080012

• Controversy surrounding the surgical treatment of thyroid cancer is discussed. The various approaches are lobectomy, isthmusectomy and lobectomy, subtotal thyroidectomy (sparing the capsule and some tissue on the contralateral side in an effort to decrease the complications of bilateral recurrent nerve paralysis and hypoparathyroidism), and total thyroidectomy. The surgical treatment options for each histologic type of thyroid gland malignancy are also discussed. For well-differentiated carcinomas of the thyroid, a strong case is made for total thyroidectomy.

(Arch Otolaryngol Head Neck Surg 1986;112:1204-1206)