Utility of routine ultrasonography follow-up after total thyroidectomy in patients with papillary thyroid carcinoma: a single-center study

作者：Park Ha Kyoung; Kim Dong Wook^*; Ha Tae Kwun; Heo Young Jin; Baek Jin Wook; Lee Yoo Jin; Cho Young Jun; Lee Dong Kun; Kim Do Hun^*; Jung Soo Jin; Ahn Ki Jung; Ahn Hye Shin; Baek Hye Jin

来源：BMC Medical Imaging, 2018, 18(1): 12.

DOI：10.1186/s12880-018-0253-9

• Papillary thyroid carcinoma
• Total thyroidectomy
• Ultrasonography
• Follow-up
• Recurrence
• Surveillance

Background: This study aimed to assess the appropriate number of sessions and interval of routine follow-up ultrasonography (US) in patients who underwent total thyroidectomy for papillary thyroid carcinoma (PTC).
Methods: Between January 2008 and December 2009, 569 patients underwent total thyroidectomy for PTC. Of the 569 patients, 44 were excluded from the study because of no US follow-up data for the neck (n = 43) or owing to indeterminate tumor recurrence/persistence (n = 1). The follow-up US for all the patients was performed by a single radiologist. Based on the cytohistopathological results, tumor recurrence/persistence was determined.
Results: In the 525 patients, the mean interval to the last follow-up US was 54.7 months, and the mean number of follow-up US sessions was 4.4. Of the 525 patients, 31 (5.9%) showed nodal (n = 30) and non-nodal (n = 1) tumor recurrence/persistence. Patient age and N stage were independently associated with tumor recurrence/persistence. Among patients showing tumor recurrence/persistence after total thyroidectomy, the time at first detection of suspicious US findings on follow-up US was <= 8 months in 2 patients, between 10 and 23 months in 21, and >= 25 months in 8. In a receiver operating characteristic curve analysis, the number of sessions and interval of the provided follow-up US were inappropriate for the detection of tumor recurrence/persistence.
Conclusions: For the detection of tumor recurrence/persistence after total thyroidectomy in PTC patients, routine US follow-up with a 1- or 2-year interval may be excessive.

• 出版日期2018-5-15