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The Primary Disease

Paul H. Ward, MD

Arch Otolaryngol Head Neck Surg. 1986;112(11):1204-1206.

Abstract
• Controversy surrounding the surgical treatment of thyroid cancer is discussed. The various approaches are lobectomy, isthmusectomy and lobectomy, subtotal thyroidectomy (sparing the capsule and some tissue on the contralateral side in an effort to decrease the complications of bilateral recurrent nerve paralysis and hypoparathyroidism), and total thyroidectomy. The surgical treatment options for each histologic type of thyroid gland malignancy are also discussed. For well-differentiated carcinomas of the thyroid, a strong case is made for total thyroidectomy.

(Arch Otolaryngol Head Neck Surg 1986;112:1204-1206)

Author Affiliations
From the Department of Surgery, Division of Head and Neck Surgery, and the Jonsson Comprehensive Cancer Center, UCLA School of Medicine.

Footnotes
Accepted for publication July 8, 1986.

Read before the American Society for Head and Neck Surgery, Palm Beach, Fla, May 7, 1986.

Reprint requests to Division of Head and Neck Surgery, UCLA School of Medicine, Los Angeles, CA 90024 (Dr Ward).

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