J.Jpn. Surg. Soc.. 80(11): 1019-1023, 1979

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Report on the annual meeting

MANAGEMENT OF THYROID CARCINOMA: SURGICAL TREATMENT AND HORMONE THERAPY

During the past ten years, total of 171 patients with thyroid malignancies have been treated by operation at our clinic. The policy to manage the disease had been composed of lesser resection of the gland with conventional radical neck dissection which were followed by postoperative cobalt irradiation until 1973, when it was changed to more extensive resection of the gland with restricted modified neck dissection which were followed by the administration of thyroid hormone to suppress endogenous TSH secretion. Local or generalized recurrence rate within postoperative three-year period was investigated to assess the short term direct results of each therapeutic scheme.
It was concluded from our observations that (1) enucleation of the nodule and berry picking method are both inadequate procedures for the treatment of thyroid carcinoma, (2) prophylactic neck dissection is not needed when regional lymph node involvement is excluded, (3) postoperative administration of thyroid hormone to suppress TSH is also unnecessary when adequate curative operation be performed, and (4) although postoperative suppression of TSH can give nearly equal preventive effect to the postoperative cobalt irradiation on the recurrence of the disease, these adjuvant therapy cannot overcome operative procedures.

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