肿瘤预防与治疗2012，Vol.25Issue(1)：12-15,4.DOI:10.3969/j.issn.1674-0904.2012.01.004
甲状腺癌近期再手术治疗58例临床分析
Clinical Analysis of Recent Reoperation for 58 Cases of Thyroid Cancer
摘要
Abstract
Objective: To analyze the reasons and related factors that necessitate the immediate reoperation for recently diagnosed thyroid cancer patients and to discuss the indications and proper surgical technique for the thyroid cancer reoperation. Methods: Clinical data of 58 patients with thyroid cancer who underwent reoperation within 3 months after receiving the primary surgery for thyroid cancer in the First Affiliated Hospital of Chongqing Medical University from Sep. 2007 to May 2011 were analyzed retrospectively. Ten males and 48 females were involved in this study with the median age of 40. 6 years ( ranged from 7 to 75 years ). All patients received reoperation including total thyroidectomy accompanied with ipsilateral modified neck dissection or VI region lymph node dissection after the relevant examination and pathology consultation. Results: Postoperative pathological detection confirmed the existence of residual cancer in 36 cases with the rate of 62.07%. Among these cases, 7 were with the residual of the primary tumor, 13 cases were with pure lymph node metastasis, and 16 cases were with both primary cancer residual and lymph node metastasis. Conclusion: Proper reoperation approaches for thyroid cancer include the ipsilateral total thyroidectomy or subtotal thyroidectomy with selective lymph node dissection which depends on the status of primary lesions and the pathological types of the cancer. The reasonable reoperation approach can be effective in reducing the complications and recurrence of tumor as well as provide the conditions for the following I131 treatment and serum thyroglobulin monitoring . Reoperation can improve the patient s survival and reduce the possibility of repeated surgery .关键词
甲状腺癌/再手术/手术范围Key words
Thyroid Cancer/ Reoperation/ Extent of Surgery分类
医药卫生引用本文复制引用
徐杰,涂刚..甲状腺癌近期再手术治疗58例临床分析[J].肿瘤预防与治疗,2012,25(1):12-15,4.基金项目
国家自然科学基金(308725201) （308725201）
