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A Comparative Study on the Clinical Outcomes of Different Surgical Approaches (Isthmus Resection with Local Lymph Node Dissection versus Total Thyroidectomy with Bilateral Central Lymph Node Dissection) for Unifocal Isthmic Papillary Thyroid Carcinoma

A Comparative Study on the Clinical Outcomes of Different Surgical Approaches (Isthmus Resection with Local Lymph Node Dissection versus Total Thyroidectomy with Bilateral Central Lymph Node Dissection) for Unifocal Isthmic Papillary Thyroid Carcinoma

Status
Active, not recruiting
Phases
Unknown
Study type
Observational
Source
ChiCTR
Registry ID
ChiCTR2500113719
Enrollment
Unknown
Registered
2025-12-02
Start date
2026-01-01
Completion date
Unknown
Last updated
2025-12-08

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

papillary thyroid carcinoma

Interventions

Isthmusectomy Group:NA
Total Thyroidectomy Group:NA

Sponsors

Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 75 Years

Inclusion criteria

Inclusion criteria: 1. Age >= 18 and <= 75 years; 2. Preoperative fine-needle aspiration biopsy (FNAB) suggesting papillary thyroid carcinoma (Bethesda Category V or VI), or preoperative ultrasound suggesting a highly suspicious nodule (TI-RADS Category 4 or 5), with the patient being a candidate for initial surgical treatment; 3. Preoperative ultrasound confirming a single malignant lesion located in the thyroid isthmus, with a maximum diameter <= 2.0 cm; 4. Preoperative ultrasound showing no suspicious malignant nodules within the thyroid lobes; 5. Preoperative ultrasound showing no suspicious metastatic lymph nodes in the neck.

Exclusion criteria

Exclusion criteria: 1. Presence of concurrent thyroid nodules classified as TI-RADS 4 or 5, which have not been confirmed as benign by fine-needle aspiration biopsy (FNAB) (regardless of size); 2. Patients with incomplete clinical data; 3. History of previous thyroid surgery or other cervical surgical procedures; 4. Intraoperative identification of tumor invasion into the trachea; 5. Final histopathological confirmation of a diagnosis other than papillary thyroid carcinoma; 6. Evidence of distant metastasis at the time of diagnosis; 7. Concurrent participation in other clinical trials or interventional studies.

Design outcomes

Primary

MeasureTime frame
Vocal Cord Paralysis;hypoparathyroidism;Tumor recurrence;

Countries

China

Contacts

Public ContactWang Jianbiao

Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University

drwangjianbiao@sina.com+86 571 86002186

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Feb 4, 2026