Campagnoli Massimo, Dell'Era Valeria, Rosa Maria Silvia, Negri Fabiola, Malgrati Eric, Garzaro Massimiliano, Valletti Paolo Aluffi
ENT Department Maggiore della Carità Hospital, 28100 Novara, Italy.
J Pers Med. 2023 Jun 29;13(7):1066. doi: 10.3390/jpm13071066.
Differentiated thyroid carcinoma (DTC) is the most frequent endocrine neoplasm. Its treatment is based on surgery with consequent impact on patients' quality of life (QoL) and aesthetic implication. The aim of the present study is to assess scar satisfaction in patients affected by DTC who underwent total or partial thyroidectomy. A comparison was also made between scar satisfaction with different subcuticular suture. Validated questionnaires have been employed during a 3-month follow-up: Patient and Observer Scar Assessment Scale (POSAS) and the Patient Scar Assessment Questionnaire (PSAQ). Eventually, the impact of thyroid cancer on QoL of patients was performed in the studied population employing the Thyroid-related patient-reported outcome questionnaire (ThyPRO) and European Organisation for Research Additionally, Treatment of Cancer-Quality of Life questionnaire-C30 (EORTC QLQ-C30). It was conducted in a single center observational study considering 74 patients respecting inclusion criteria. Overall scar satisfaction was found to improve during follow-up, reaching the best scores at 3 months from surgery. Subcuticular suture does not seem to influence the scar satisfaction. In our study male patients seem to be more satisfied, on the other hand age does not seem to influence satisfaction. Overall, the ThyPRO questionnaire and EORTC QLQ-C30 scores did not statistically differ between preoperative and postoperative suggesting a small impact of DTC in QoL.
分化型甲状腺癌（DTC）是最常见的内分泌肿瘤。其治疗以手术为基础，这会对患者的生活质量（QoL）和美观产生影响。本研究的目的是评估接受全甲状腺切除术或部分甲状腺切除术的DTC患者对瘢痕的满意度。同时还比较了不同皮下缝合方式下的瘢痕满意度。在3个月的随访期间使用了经过验证的问卷：患者和观察者瘢痕评估量表（POSAS）以及患者瘢痕评估问卷（PSAQ）。最终，在研究人群中使用甲状腺相关患者报告结局问卷（ThyPRO）和欧洲癌症研究与治疗组织生活质量问卷C30（EORTC QLQ-C30）评估了甲状腺癌对患者生活质量的影响。这是一项在单一中心进行的观察性研究，纳入了74名符合纳入标准的患者。结果发现，总体瘢痕满意度在随访期间有所提高，在术后3个月时达到最佳分数。皮下缝合似乎不影响瘢痕满意度。在我们的研究中，男性患者似乎更满意，另一方面，年龄似乎不影响满意度。总体而言，ThyPRO问卷和EORTC QLQ-C30评分在术前和术后无统计学差异，表明DTC对生活质量的影响较小。
