caa a22 4500 477035167 CHVBK 20180405111303.0 cr unu---uuuuu 170330e19960701xx s 000 0 eng 10.1007/s002689900130 doi (NATIONALLICENCE)springer-10.1007/s002689900130 Improved Survival of Patients with Papillary Thyroid Cancer after Surgical Microdissection [Elektronische Daten] [Lars-Erik Tisell, Bengt Nilsson, Johan Mölne, Göran Hansson, Martha Fjälling, Svante Jansson, Urban Wingren] Abstract. A total of 195 patients had surgery for papillary thyroid cancer. The mean age at operation was 50 years. A microdissection technique was used for total thyroidectomy and lymph node clearance. Postoperative radioiodine tests showed no uptake or an uptake close to the background activity in 77% of the examined patients. By counting the lymph nodes removed at surgery we were able to check on the quality of the lymph node dissection. Men had a higher incidence (70%) of lymph node metastases than women (45%). Only 4% of the patients had radioiodine ablation of the thyroid remnant. The median follow-up time was 13 years. None of the patients below 45 years of age at surgery died of thyroid cancer. In the older age group eight patients died of thyroid cancer at a mean age of 75 years. Five of those who died of a thyroid carcinoma had distant metastases at diagnosis. Among patients with resectable disease, three (1.6%) died of thyroid cancer, all of whom had lived for more than 17 years after surgery. Hence longer follow-up is needed before we know the final mortality in our series. The results suggest that surgical technique and strategy can positively influence the survival of patients with papillary thyroid cancer.: 1996 by the Société Internationale de Chir, ugie Tisell Lars-Erik Department of Surgery, Sahlgrenska University Hospital, S-413 45 Göteborg, Sweden, SE aut Nilsson Bengt Department of Surgery, Sahlgrenska University Hospital, S-413 45 Göteborg, Sweden, SE aut Mölne Johan Department of Pathology, Sahlgrenska University Hospital, S-413 45 Göteborg, Sweden, SE aut Hansson Göran Department of Pathology, Sahlgrenska University Hospital, S-413 45 Göteborg, Sweden, SE aut Fjälling Martha Department of Nuclear Medicine, Sahlgrenska University Hospital, S-413 45 Göteborg, Sweden, SE aut Jansson Svante Department of Surgery, Sahlgrenska University Hospital, S-413 45 Göteborg, Sweden, SE aut Wingren Urban Department of Surgery, Sahlgrenska University Hospital, S-413 45 Göteborg, Sweden, SE aut https://doi.org/10.1007/s002689900130 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s002689900130 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Tisell Lars-Erik Department of Surgery, Sahlgrenska University Hospital, S-413 45 Göteborg, Sweden, SE aut NATIONALLICENCE 700 1- Nilsson Bengt Department of Surgery, Sahlgrenska University Hospital, S-413 45 Göteborg, Sweden, SE aut NATIONALLICENCE 700 1- Mölne Johan Department of Pathology, Sahlgrenska University Hospital, S-413 45 Göteborg, Sweden, SE aut NATIONALLICENCE 700 1- Hansson Göran Department of Pathology, Sahlgrenska University Hospital, S-413 45 Göteborg, Sweden, SE aut NATIONALLICENCE 700 1- Fjälling Martha Department of Nuclear Medicine, Sahlgrenska University Hospital, S-413 45 Göteborg, Sweden, SE aut NATIONALLICENCE 700 1- Jansson Svante Department of Surgery, Sahlgrenska University Hospital, S-413 45 Göteborg, Sweden, SE aut NATIONALLICENCE 700 1- Wingren Urban Department of Surgery, Sahlgrenska University Hospital, S-413 45 Göteborg, Sweden, SE aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer