A CASE SERIES: TRANSORAL ENDOSCOPIC THYROIDECTOMY VESTIBULAR APPROACH IN THE TREATMENT OF FOLLICULAR THYROID CANCER

Hiền Nguyễn Xuân, Hậu Nguyễn Xuân, Tân Nguyễn Nhật, Hoàng Nguyễn Xuân, Quảng Lê Văn

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Abstract

Objective: To evaluate the clinical and subclinical characteristics and treatment results of transoral endoscopic thyroidectomy vestibular approach (TOETVA) in the treatment  of follicular thyroid cancer (FTC). Methods: A case series study of FTC patients treated with TOETVA at Hanoi Medical University Hospital from 2022 to 2023. Results: The mean age was 31.4 (21-48 years). All patients were female. The mean tumor size was 25.9 mm (10-40.8 mm). All cases were diagnosed with FTC based on postoperative histopathology. All 5 patients underwent lobectomy or isthmus-removing lobectomy using TOETVA, with one patient undergoing central neck lympho nodes dissection. No recurrence was observed, with a mean follow-up time of 28.2 months (18-33 months). Conclusion: Follicular thyroid cancer is rare and has a worse prognosis compared to papillary thyroid cancer. TOETVA may be a suitable option for lobectomy and isthmusectomy or complete thyroidectomy in cases of FTC.

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References

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