Is hemithyroidectomy enough? Low risk of occult contralateral disease in sporadic medullary thyroid cancer
Occult contralateral disease in sMTC is rare when high-quality preoperative ultrasound is available. In selected patients with unifocal, node-negative tumors and favorable pathology, HT combined with structured calcitonin monitoring may be an oncologically safe, less morbid alternative. These findings support individualized, risk-adapted surgical strategies in sMTC. Prospective validation is warranted.
Authors
- Christoph Becker (ORCID: https://orcid.org/0000-0002-8385-0785)
- Bernd Jänigen (ORCID: https://orcid.org/0000-0001-9401-8815)
- Joseph Alfred Berthelot
- Mira Fink
- Valentin Burkhardt
- Katharina Laubner (ORCID: https://orcid.org/0000-0002-8303-5262)
- Andreas Spörlein
Institutions
- University of Freiburg (DE)
- University Medical Center Freiburg (DE)
Publication Details
- Journal
- European Archives of Oto-Rhino-Laryngology
- Published
- 2025-12-22
- DOI
- https://doi.org/10.1007/s00405-025-09929-1
- Primary Topic
- Thyroid and Parathyroid Surgery
- Type
- article
- Field-Weighted Citation Impact
- 0.00