Clinical treatment of primary hyperthyroidism complicated with thyroid cancer
10.3760/cma.j.issn.1674-6090.2019.04.002
- VernacularTitle:原发性甲状腺功能亢进合并甲状腺癌的术式探讨
- Author:
Yanbing JIAN
1
;
Bing WANG
;
Jun PENG
;
Wen TIAN
Author Information
1. 解放军总医院第一医学中心普通外科
- Keywords:
Primary hyperthyroidism;
Thyroid cancer;
Thyroidectomy
- From:
Chinese Journal of Endocrine Surgery
2019;13(4):269-272
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical effects of different surgical methods for primary hyperthyroidism complicated with thyroid cancer.Methods The clinical data of patients with primary thyroid hyperthyroidism complicated with thyroid cancer who visited our hospital from Jan.2011 to Dec.2017 were collected,including preoperative preparation,operation mode and so on,to explore the clinical effect of different surgical methods.Results Thirty patients with single nodules preoperatively,no suspected lymph node metastasis and no intraoperative involvement of glandular extravasation were performed Ipsilateral thyroid + isthmectomy and contralateral thyroidectomy.Less than 1g of thyroid tissue was retained at the throat of the contralateral gland (less than 1 cm x 1 cm x 1 cm volume of glandular tissue).Double-sided total thyroidectomy was performed on 19 patients with preoperative ultrasound suspects cancer and multiple nodules,bilateral cancers,suspected lymph node metastases,and extraeapsular invasion.All patients who were followed did not show recurrence or metastasis of hyperthyroidism or thyroid cancer.Conclusions The treatment of hyperthyroidism combined with thyroid gland should be based on the principle of thyroid cancer cure and relapse prevention of hyperthyroidism and according to the tumor size,location,pathological type and risk of relapse stratified development of personalized surgery program.Conventional central lymph node dissection is necessary for patients with primary hyperthyroidism complicated with thyroid cancer,especially for those with young age,large tumor diameter,and invasion of the capsule and the surrounding tissue.
