Sažetak sa skupa

Surgical management of advanced thyroid cancer

Alan Pegan ; KBC Sestre milosrdnice, Vinogradska cesta 29, 10000 Zagreb, Hrvatska; Medicinski fakultet Sveučilišta u Zagrebu, Šalata 3b, Zagreb, Hrvatska
Davor Vagić ; KBC Sestre milosrdnice, Vinogradska cesta 29, 10000 Zagreb, Hrvatska; Medicinski fakultet Sveučilišta u Zagrebu, Šalata 3b, Zagreb, Hrvatska
Darko Solter ; KBC Sestre milosrdnice, Vinogradska cesta 29, 10000 Zagreb, Hrvatska; Medicinski fakultet Sveučilišta u Zagrebu, Šalata 3b, Zagreb, Hrvatska

Sažetak

Although advanced thyroid disease is associated with a worse prognosis and overall survival, the term
advanced thyroid cancer is not well defined in literature. From the standpoint of head and neck surgeon it can
be divided into two entities, one based on presence of locally advanced disease, and the other with regional
and/or distant metastasis. Structures that can be infiltrated by locally advanced disease are located adjacent to
the thyroid itself, infrahioid muscle, RLN, larynx, trachea, oesophagus, internal jugular and carotid artery.
Infiltrations of all these structures are classified as T4 stage, except for the infiltration of the infrahyoid
musculature. Regionally advanced disease refers to the presence of metastases in regional lymph nodes. All of
the patients with the presence of distant metastases should be considered advanced, regardless of local and
regional status. In this lecture, we will review the specifics of surgical treatment of advanced welldifferentiated thyroid cancer stages II to IV. We will try to give special emphasis to the controversies in the
scope of pretreatment diagnostics and the extent of surgical treatment.

Ključne riječi

thyroid cancer; papillary thyroid cancer; advanced thyroid cancer

Hrčak ID:

336414

URI

https://hrcak.srce.hr/336414

Datum izdavanja:

10.11.2025.

Posjeta: 140 *