New Insights into Thyroid Cancer Surgery
A special issue of Cancers (ISSN 2072-6694). This special issue belongs to the section "Cancer Therapy".
Deadline for manuscript submissions: 30 September 2024 | Viewed by 955
Special Issue Editors
Interests: endocrine surgery; thyroid surgery; adrenal surgery; parathyroid surgery; hereditary endocrine tumors; minimally invasive surgery
Interests: endocrine surgery; thyroid surgery; adrenal surgery; parathyroid surgery; hereditary endocrine tumors; minimally invasive surgery
Special Issue Information
Dear Colleagues,
Thyroid cancer is the most common endocrine malignancy, with an increased incidence in last years. Even if active surveillance and minimally invasive interventions have been proposed for low-risk differentiated thyroid cancer (DTC), surgery remains the mainstay of treatment for patients with a suspected or cytologically confirmed DTC; however, controversy over the most appropriate extent of thyroid resection (lobectomy vs. total thyroidectomy) remains. In fact, the risk of recurrent laryngeal nerve palsy is higher in total thyroidectomy compared to lobectomy, as are the risk of hypoparathyroidism and the need for thyroid hormone replacement. Another controversial issue in thyroid cancer surgery is the management of central lymph node dissection; even if central lymph node dissection is required for clinically evident lymph node metastasis, the role of prophylactic lymph node dissection is still debated. Moreover, although total thyroidectomy with bilateral central lymph node dissection is mandatory in patients with medullary thyroid carcinoma, the extent of lymph node dissection in the lateral compartment remains controversial.
The use of even more precise surgical devices and new technology allows safer surgery, simplifying the preservation of nerves, blood vessels, and parathyroid glands. On this issue, intraoperative neuromonitoring has facilitated the early identification of recurrent laryngeal nerve injuries, and intraoperative parathyroid autofluorescence as well as indocyanine green angiography were carried out to visualize and preserve parathyroid gland function.
In light of such a new scenario, the aim of this Special Issue of Cancers is to analyze the previously described various issues in thyroid cancer surgery to offer new perspectives, promote innovative approaches, and provide a comprehensive overview of the current developments in thyroid cancer surgery. For this purpose, we welcome original research articles or comprehensive review articles that will provide a critical analysis of these issues to further increase our knowledge of thyroid cancer.
Dr. Maurizio Iacobone
Dr. Francesca Torresan
Guest Editors
Manuscript Submission Information
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Keywords
- total thyroidectomy
- differentiated thyroid cancer
- lymph node dissection
- parathyroid autofluorescence
- medullary thyroid carcinoma
- recurrent laryngeal nerve neuromonitoring
