Recurrence of Thyroid Nodules after Surgical Removal in Patients Irradiated in Childhood

To the Editor: In an analysis of their data on recurrence of thyroid nodules after surgery in patients irradiated for benign conditions, Fogelfeld et al. (March 30 issue) 1 report that 19.5 percent of the patients had a recurrence during a median follow-up of 11.2 years. Furthermore, the extent of s...

Full description

Saved in:
Bibliographic Details
Published inThe New England journal of medicine Vol. 321; no. 11; p. 758
Main Authors Khandekar, J D, Murphy, E D
Format Journal Article
LanguageEnglish
Published United States Massachusetts Medical Society 14.09.1989
Subjects
Child
Follow-Up Studies
Humans
Recurrence
Thyroid Diseases - radiotherapy
Thyroid Diseases - surgery
Thyroidectomy
Online AccessGet full text

Cover

More Information
Summary:To the Editor: In an analysis of their data on recurrence of thyroid nodules after surgery in patients irradiated for benign conditions, Fogelfeld et al. (March 30 issue) 1 report that 19.5 percent of the patients had a recurrence during a median follow-up of 11.2 years. Furthermore, the extent of surgery performed initially correlated inversely with the recurrence rate. On the basis of our experience in 1400 patients, we have also advocated near-total thyroidectomy for any patient who has received radiation in infancy or childhood. 2 , 3 We observed that carcinoma was multifocal in 36 percent of the patients, it could occur at . . .
Bibliography:SourceType-Other Sources-1
content type line 63
ObjectType-Correspondence-1
ObjectType-Commentary-2
ISSN:0028-4793
1533-4406
DOI:10.1056/NEJM198909143211111