[Radical surgical treatment of differentiated XXXX --necessity or over-enthusiasm?].

@entity1 @entity5 @entity1442 @entity259 @entity204
The extent of surgical treatment of well differentiated @entity259 has been controversial and widely discussed for years. Although the recommendations defining the strategy of thyroid surgery were approved in 1995, a lot of questions remained. The aim of this retrospective study was to analyse long-term results of surgical treatment of @entity259 according to the type of applied surgical procedure. The study group consisted of 206 @entity1 surgically treated for well differentiated @entity259 with the minimal follow-up period of 5 years. The median age @entity1 was 49.1 years. 159 @entity1 (77.2%) have still remained in the follow-up programme, 23 died because of @entity259 (11.1%) and the remaining 24 have either refused to participate in the programme or died of other causes. Median follow-up period was 10.7 years. Total thyroidectomy was performed in 90 @entity1 (43.7%) and less extensive procedures in 106 (51.4%). The remaining @entity1 were qualified for @entity5 mass and they were not included in this study. The comparison of the @entity1 with I and II stage of the disease according to the type of surgical procedure did not show differences in 10-year survival. In stage III the difference was very close to statistical significance. The same results were observed with regard to disease recurrence. Long-time survival in low risk @entity1 was not related to the extent of surgical procedure. The risk of recurrence and @entity204 was higher in the @entity1 with @entity1442 in stage III who underwent less radical procedures like total resection of involved lobe with isthmus and subtotal resection of contralateral lobe.
