title: [Reoperation for thyroid cancer].
abstract: Reoperation for thyroid cancer needs to consider patient-, tumor- and therapy-related aspects as well as present diagnostic results. Reoperation because of thyroid remnants, persistence of the primary tumor and lymph node metastasis (completion surgery) has to be distinguished from reoperation due to locoregional recurrence (primary tumor, lymph nodes). The primary surgical strategy should avoid the need for reoperation. The extent of reoperation is related to the extent of primary surgery, stage, and distant metastasis. The timing and indication of reoperation for differentiated thyroid carcinoma in an interdisciplinary multimodal treatment setting depends on diagnostic radioiodine scans and radioiodine therapy. Long-term, recurrence-free survival is achieved by sufficiently radical surgery with acceptable morbidity, including all additive or adjuvant treatment options.
authors.affiliation: Chirurgische Klinik und Poliklinik, Technische Universität München. vogelsang@nt1.chir.med.tu-muenchen.de
authors.forename: H
authors.initials: H
authors.lastname: Vogelsang
authors.forename: T
authors.initials: T
authors.lastname: Brückner
authors.forename: K
authors.initials: K
authors.lastname: Scheidhauer
authors.forename: M
authors.initials: M
authors.lastname: Schwaiger
authors.forename: J R
authors.initials: JR
authors.lastname: Siewert
mesh_terms: D018450:Disease Progression; D006801:Humans; D008197:Lymph Node Excision / Q000379:methods; D009364:Neoplasm Recurrence, Local / Q000473:pathology / Q000601:surgery*; D009367:Neoplasm Staging; D018365:Neoplasm, Residual / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D011379:Prognosis; D012009:Recurrent Laryngeal Nerve / Q000473:pathology; D061226:Recurrent Laryngeal Nerve Injuries; D012086:Reoperation; D013964:Thyroid Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D013965:Thyroidectomy / Q000379:methods*
references.citation: Lancet Oncol. 2002 Jul;3(7):407-14
references.pmid: 12142170
references.citation: J Surg Res. 2001 May 1;97(1):9-13
references.pmid: 11319873
references.citation: J Clin Endocrinol Metab. 1992 Sep;75(3):714-20
references.pmid: 1517360
references.citation: Surg Oncol Clin N Am. 1996 Jan;5(1):43-63
references.pmid: 8789493
references.citation: J Clin Endocrinol Metab. 1986 Oct;63(4):960-7
references.pmid: 3745409
references.citation: Cancer. 1987 Nov 15;60(10):2372-5
references.pmid: 3664425
references.citation: Endocr Pract. 2001 May-Jun;7(3):202-20
references.pmid: 11430305
references.citation: Thyroidology. 1993 Dec;5(3):93-6
references.pmid: 7524636
references.citation: Am J Med. 1994 Nov;97(5):418-28
references.pmid: 7977430
references.citation: Br J Surg. 1993 Aug;80(8):1009-12
references.pmid: 8402050
references.citation: Tumori. 2000 Jul-Aug;86(4):367-9
references.pmid: 11016732
references.citation: Lancet. 2003 Feb 8;361(9356):501-11
references.pmid: 12583960
references.citation: World J Surg. 1998 Jun;22(6):562-7; discussion 567-8
references.pmid: 9597929
references.citation: World J Surg. 1992 Jul-Aug;16(4):711-6; discussion 716-7
references.pmid: 1413840
references.citation: Surgery. 1997 Dec;122(6):1124-30; discussion 1130-1
references.pmid: 9426428
references.citation: Thyroid. 2004 Aug;14(8):600-4
references.pmid: 15320972
references.citation: Chirurg. 2004 Sep;75(9):916-22
references.pmid: 15168032
references.citation: Surgery. 1992 Dec;112(6):1139-46; discussion 1146-7
references.pmid: 1455316
references.citation: Cancer. 1994 Aug 15;74(4):1348-54
references.pmid: 8055459
references.citation: Cancer. 2003 Mar 1;97(5):1186-94
references.pmid: 12599224
references.citation: World J Surg. 1994 Jul-Aug;18(4):559-67; discussion 567-8
references.pmid: 7725745
references.citation: World J Surg. 1996 Sep;20(7):860-6; discussion 866
references.pmid: 8678963
references.citation: Chirurg. 1996 Aug;67(8):788-806
references.pmid: 8964151
references.citation: J Clin Oncol. 2001 May 15;19(10):2616-25
references.pmid: 11352953
references.citation: Nucl Med Commun. 2004 Sep;25(9):897-900
references.pmid: 15319594
references.citation: Ann Chir. 2003 Jun;128(5):289-92
references.pmid: 12878063
references.citation: J Clin Endocrinol Metab. 1998 Aug;83(8):2675-80
references.pmid: 9709930
references.citation: Eur J Nucl Med. 1999 Aug;26(8):913-35
references.pmid: 10436207
references.citation: World J Surg. 2002 Jan;26(1):22-8
references.pmid: 11898029
references.citation: Curr Treat Options Oncol. 2004 Aug;5(4):307-13
references.pmid: 15233907
references.citation: Zentralbl Chir. 2002 May;127(5):435-8
references.pmid: 12058304
references.citation: Arch Surg. 2000 Aug;135(8):895-901
references.pmid: 10922248
references.citation: Endocrinol Metab Clin North Am. 1990 Sep;19(3):545-76
references.pmid: 2261906
references.citation: Eur J Surg. 1996 Sep;162(9):677-84
references.pmid: 8908447