Diferansiye tiroid kanserlerinde yetersiz tedavi nedeniyle yapılan reoperasyonların morbidite, mortalite ve maliyetlere etkisi

Abstract

Diferansiye tiroid kanseri (DTK) insidansı yüksek olmakla birlikte mortalitesi oldukça düşüktür. Düşük ve orta riskli DTK'lerinde yetersiz tedavi nedeniyle yeniden yapılan ameliyatlar hastalarda morbidite, mortalite ve maliyetleri artırabilir. Çalışmamızda bu konuda yayınlanmış güncel makaleler incelenip değerlendirilmiştir. Sonuçlarımıza göre, DTK'lerinde yetersiz tedavi nedeniyle morbidite, mortalite ve maliyetler artmaktadır. Bu nedenle, düşük ve orta riskli DTK vakalarında bile, yüksek hacimli endokrin cerrahlar tarafından total veya totale yakın tiroidektomi gibi yeterli ameliyatlar yapılmalı ve tüm vakalarda orta derecede TSH supresyonu uygulanmalıdır.

Keywords

• Etkileri
• reoperasyonlar
• diferensiye
• tiroid
• kanserler

The effects of reoperations due to inadequate treatment in differentiated thyroid cancers on morbidity, mortality and costs

Abstract

Although the incidence of differentiated thyroid cancer (DTC) is high, mortality is quite low. In low and intermediate risk DTCs, reoperations due to inadequate treatment can increase morbidity, mortality, and costs in patients. In our study, current articles published on this subject were reviewed and evaluated. According to our results, morbidity, mortality and costs increase due to inadequate treatment in DTCs. Therefore, even in low and intermediate risk DTC cases, adequate surgeries such as total or near total thyroidectomy should be performed by high volume endocrine surgeons and moderate TSH suppression should be applied in all cases.

Keywords

• Effects
• reoperations
• differentiated
• thyroid
• cancers

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