Surgical treatment of differentiated thyroid carcinoma
- VernacularTitle:分化型甲状腺癌的外科治疗
- Author:
Xiaohui XU
;
Yujun LIU
;
Boqing LIANG
;
Shiwei WANG
- Publication Type:Journal Article
- Keywords:
Thyroid neoplasms;
Thyroidectomy;
Lymph node
- From:
Chinese Journal of Primary Medicine and Pharmacy
2008;15(11):1788-1789
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summary the experience in surgical treatment of differentiated thyroid carcinoma (DTC).Methods The clinical data and follow-up results of 110 cases of DTC were retrospectively analyzed.Results 110 patients received operation and TSH suppress therapy.Histologic examination after operation revealed that papillary thyroid carcinoma(PTC) 88 cases(80%) ,follicular thyroid carcinoma 22 cases(20%) ,cervical lymph node metastasis were found in 22 cases(20%).The operation procedure consists of excision of the suffered lobe,isthmus and greater partial of the opposite lobe 59 cases(along with functional cervical dissection 12 cases) ;excision cf the sufferedlobe,isthmus 29 cases(along with functional cervical dissection 7 cases) ;excision of the suffered lobe,isthmus greater partial of the opposite lobe 18 cases(along with functional cervical dissection 5 cases) ;total thyroidectomy and bilateral cervical dissection 2 cases;total thyroidectomy and bilateral cervical dissection with postoperative 131I therapy,1 cases with metastasis to lung.98 cases 10-year survival rate was 91.8%.Conclusion Differentiated thyroid carcinoma has a good prognosis,a proper surgical procedure is the key point to get a good outcome.
