J Endocr Surg.  2020 Jun;20(2):21-25. 10.16956/jes.2020.20.2.21.

A Case of Minimally Invasive Follicular Thyroid Carcinoma Relapsed as a Large Cervical Lymphadenopathy and Multiple Lung Metastases

  • 1Department of Pathology, Dankook University College of Medicine, Cheonan, Korea
  • 2Department of Surgery, Yonsei University Wonju College of Medicine, Wonju, Korea


Intraoperative neuromonitoring (IONM) of the recurrent laryngeal nerve (RLN) is a useful technique that can be applied to assess the nerve functionality at the end of the first side lobectomy in a planned total resection to prevent the bilateral injury of the RLN. Here we describe the process of informed consent of patients, who were subjected to a 2-stage thyroidectomy, and its effect on the patients' willingness to be operated on as well as their consent rates.
A retrospective observational study of patients, undergoing thyroidectomy with standardized IONM, was conducted from January 2019 to December 2019. All patients were preoperatively informed about the possibility of undergoing a 2-stage thyroidectomy. The outcome of this information was evaluated through a specific questionnaire that the patients were asked to fill in.
Eighty patients were initially included in the analysis. The treatment was discontinued in 8 patients, who were originally eligible to total thyroidectomy, due to the detection of a loss of signal in the electromyography. The analysis of the results of the questionnaires highlighted a high compliance of the patients with the expectation of a possible new intervention.
Two-stage thyroidectomy proved to be a reliable surgical approach and appeared to be largely accepted by the patients.


Follicular thyroid carcinoma; Metastasis
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