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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
29
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pubmed:dateCreated |
1977-11-30
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pubmed:abstractText |
In the treatment of thyroid carcinoma, there is still some discussion about the best operation for a solitary and well encapsulated nodule. 18 years ago, it was decided to treat every case of "cold" thyroid nodule by total lobectomy and isthmectomy. 56 patients were reevaluated 5 to 18 years after such limited operation for malignant nodules. 8 of them died between the 19 th month and the 14 th year after surgery, the death being possibly related to the thyroid cancer in only 4 patients, but without any clinical evidence of local recurrence. Among 50 surviving patients, only one controlateral recurrence was observed, two years after lobectomy; it was treated by surgical totalisation of thyroidectomy, without any new recurrence after 10 more years. These results (although the small number of cases, and too short follow-up exclude definitive conclusions) are comparable to those obtained by a more aggresive surgical approach, but have the great advantage of total absence of any functional sequellae. So are we encouraged to go further in the experience of a rather conservative surgery in the treatment of uninodular thyroid carcinoma.
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pubmed:language |
fre
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Sep
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pubmed:issn |
0301-1518
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:day |
10
|
pubmed:volume |
6
|
pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
2583-7
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:333385-Adolescent,
pubmed-meshheading:333385-Adult,
pubmed-meshheading:333385-Age Factors,
pubmed-meshheading:333385-Aged,
pubmed-meshheading:333385-Clinical Trials as Topic,
pubmed-meshheading:333385-Female,
pubmed-meshheading:333385-Follow-Up Studies,
pubmed-meshheading:333385-Humans,
pubmed-meshheading:333385-Male,
pubmed-meshheading:333385-Methods,
pubmed-meshheading:333385-Middle Aged,
pubmed-meshheading:333385-Neoplasm Recurrence, Local,
pubmed-meshheading:333385-Sex Factors,
pubmed-meshheading:333385-Thyroid Neoplasms,
pubmed-meshheading:333385-Thyroidectomy
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pubmed:year |
1977
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pubmed:articleTitle |
[Is unilateral total lobectomy adequate treatment for a single malignant thyroid nodule? 67 patients operated upon between 5 and 18 years age (author's transl)].
|
pubmed:publicationType |
Journal Article,
Clinical Trial,
English Abstract
|