German Association of Endocrine Surgeons practice guideline for the surgical management of malignant thyroid tumors View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2013-03-03

AUTHORS

Henning Dralle, Thomas J. Musholt, Jochen Schabram, Thomas Steinmüller, Andreja Frilling, Dietmar Simon, Peter E. Goretzki, Bruno Niederle, Christian Scheuba, Thomas Clerici, Michael Hermann, Jochen Kußmann, Kerstin Lorenz, Christoph Nies, Peter Schabram, Arnold Trupka, Andreas Zielke, Wolfram Karges, Markus Luster, Kurt W. Schmid, Dirk Vordermark, Hans-Joachim Schmoll, Reinhard Mühlenberg, Otmar Schober, Harald Rimmele, Andreas Machens, for the German Societies of General and Visceral Surgery; Endocrinology; Nuclear Medicine; Pathology; Radiooncology; Oncological Hematology; and the German Thyroid Cancer Patient Support Organization Ohne Schilddrüse leben e.V.

ABSTRACT

IntroductionOver the past years, the incidence of thyroid cancer has surged not only in Germany but also in other countries of the Western hemisphere. This surge was first and foremost due to an increase of prognostically favorable (“low risk”) papillary thyroid microcarcinomas, for which limited surgical procedures are often sufficient without loss of oncological benefit. These developments called for an update of the previous practice guideline to detail the surgical treatment options that are available for the various disease entities and tumor stages.MethodsThe present German Association of Endocrine Surgeons practice guideline was developed on the basis of clinical evidence considering current national and international treatment recommendations through a formal expert consensus process in collaboration with the German Societies of General and Visceral Surgery, Endocrinology, Nuclear Medicine, Pathology, Radiooncology, Oncological Hematology, and a German thyroid cancer patient support organization.ResultsThe practice guideline for the surgical management of malignant thyroid tumors includes recommendations regarding preoperative workup; classification of locoregional nodes and terminology of surgical procedures; frequency, clinical, and histopathological features of occult and clinically apparent papillary, follicular, poorly differentiated, undifferentiated, and sporadic and hereditary medullary thyroid cancers, thyroid lymphoma and thyroid metastases from primaries outside the thyroid gland; extent of thyroidectomy; extent of lymph node dissection; aerodigestive tract resection; postoperative follow-up and surgery for recurrence and distant metastases.ConclusionThese evidence-based recommendations for surgical therapy reflect various “treatment corridors” that are best discussed within multidisciplinary teams and the patient considering tumor type, stage, progression, and inherent surgical risk. More... »

PAGES

347-375

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  • Journal

    TITLE

    Langenbeck's Archives of Surgery

    ISSUE

    3

    VOLUME

    398

    Author Affiliations

  • Department of General, Visceral and Vascular Surgery, Martin Luther University Halle-Wittenberg, Ernst-Grube-Straße 40, 06097, Halle (Saale), Germany
  • Department of General and Abdominal Surgery, Gutenberg University, Mainz, Germany
  • Department of Surgery, St. Josefs Krankenhaus Giessen, Giessen, Germany
  • Department of Visceral and Endocrine Surgery, DRK-Kliniken Berlin-Westend, Berlin, Germany
  • Department of Surgery and Cancer, Imperial College London, Hammersmith Hospital, London, UK
  • Department of General and Visceral Surgery, Bethesda Hospital, Duisburg, Germany
  • Lukaskrankenhaus Neuss, Neuss, Germany
  • Department of Surgery, Medical University of Vienna, Vienna, Austria
  • Department of Surgery, Kantonsspital St. Gallen, St. Gall, Switzerland
  • Department of Surgery, Kaiser-Elisabeth-Spital, Medical University of Vienna, Vienna, Austria
  • Clinic for Endocrine Surgery, Schön Klinik Hamburg-Eilbeck, Hamburg, Germany
  • Department of General and Vascular Surgery, Niels-Stensen-Kliniken, Marienhospital Osnabrück, Osnabrück, Germany
  • Ratajczak and Partners, Freiburg, Germany
  • Department of Surgery, Kreiskrankenhaus Starnberg, Starnberg, Germany
  • Department of Surgery, Klinikum Offenbach, Offenbach, Germany
  • Division of Endocrinology and Diabetes, Universitätsklinikum Aachen, Aachen, Germany
  • Department of Nuclear Medicine, Universitätsklinikum Ulm, Ulm, Germany
  • Department of Pathology, Universitätsklinikum Essen, Essen, Germany
  • Department of Radiooncology, Universitätsklinikum Halle, Halle/Saale, Germany
  • Department of Hematooncology, Universitätsklinikum Halle, Halle/Saale, Germany
  • Department of Pediatrics, Klinikum Krefeld, Krefeld, Germany
  • Department of Nuclear Medicine, University Hospital Westfälische Wilhelms-University, Münster, Germany
  • German Thyroid Cancer Patient Support Organization, Ohne Schilddrüse leben e.V.–Bundesverband Schilddrüsenkrebs, Berlin, Germany
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00423-013-1057-6

    DOI

    http://dx.doi.org/10.1007/s00423-013-1057-6

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1050083604

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/23456424


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