Abstract
Objective Study and analyze the benefits and risks of unilateral thyroidectomy for 1 to 4 cm thyroid cancer in primary surgery. Methods The patients who underwent thyroidectomy for 1 to 4 centimeters WDTC (May 2014 to June 2015) were retrospectively reviewed, and the patients with preoperatively known high-risk characteristics were excluded. One hundred and seventy-one patients would have been eligible for lobectomy as the initial operation based on current American Thyroid Association guidelines. The proportion of patients who need secondary surgery was estimated basing on pathological characteristics. Result In this group, 49% patients would have to undergo a secondary surgery if they took lobectomy as the initial operation. Conclusions Patients with 1 to 4 centimeters WDTC who accept unilateral thyroidectomy may take the risk of secondary surgery. Surgeons and patients need to balance the relative benefits and risks of initial TT versus lobectomy before the operation. Key words: Thyroid neoplasms; Guidebooks; Two-stage thyroidectomy; Treatment outcome
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