医学
甲状腺结节
甲状腺
甲状腺切除术
普通外科
活检
甲状腺全切除术
器官采购
甲状腺癌
外科
放射科
内科学
移植
作者
Luca Giovanni Locatello,Nicole Caiazza,F. Ronchi,Anna Maria Bergamin‐Bracale,Cesare Miani
摘要
ABSTRACT Background Thyroid nodules are common findings during the diagnostic work‐up in potential organ donors. A fast yet thorough assessment to rule out cancer is mandatory but their management remains heterogeneous among hospitals and the evidence in this field is scarce. We present our institutional experience and review the most recent literature on this topic. Methods Retrospective case series and systematic review of the literature. Results In the years 2000–2023, 47 total thyroidectomies were performed on potential brain‐dead donors. Intraoperative frozen section (FS) revealed 6 cases (13.9%) of papillary carcinoma that led to organ discarding in 3 cases (6.9%). The mean operative time of the procedures was 42.75 min and no procurement‐delaying complications were registered. Conclusion Total thyroidectomy with an intraoperative FS is a sound method for assessing suspicious nodules before organ harvesting. Future randomized studies comparing its performance against fine needle aspiration biopsy are needed to define the most cost‐effective and time‐saving strategy.
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