CQ23. When Is Completion Total Thyroidectomy Recommended as a Second Surgery for Patients Who Underwent Hemithyroidectomy and Were Diagnosed as Having Follicular Carcinoma on Postoperative Pathological Examination?

  • Kaoru Kobayashi
  • Akira Yoshida
  • Takehito Igarashi


Completion total thyroidectomy is performed in order to prevent carcinoma recurrence to the remnant thyroid [1], but it is more likely to be adopted to investigate for distant metastasis by RAI or to perform RAI therapy. Follicular carcinoma is difficult to diagnose preoperatively and most diagnoses are established on pathological examination. Completion total thyroidectomy is recommended when pathological findings clearly indicate poor prognosis. This CQ investigates the findings affecting prognosis of follicular carcinoma patients.


Distant Metastasis Thyroid Cancer Pathological Examination Vascular Invasion Invasive Carcinoma 
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Copyright information

© Springer Japan 2013

Authors and Affiliations

  • Kaoru Kobayashi
    • 1
  • Akira Yoshida
    • 2
  • Takehito Igarashi
    • 3
  1. 1.Department of SurgeryKuma HospitalKobeJapan
  2. 2.Department of Breast and Endocrine SurgeryKanagawa Cancer CenterYokohamaJapan
  3. 3.Department of Surgery, Division of Endocrine SurgeryNippon Medical SchoolTokyoJapan

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