Evaluation of 118 Thyroid Cancer Patients Who Underwent a Re-operation after Local Resection  

作　　者：Jianping Hang Dong Meng Liqi Li 

机构地区：[1]Department of Thyroid and Breast Surgery, Wuxi No. 4 Hospital, Wuxi,Jiangsu 214062, China.

出　　处：《Chinese Journal of Clinical Oncology》2005年第5期800-804,共5页中国肿瘤临床（英文版）

摘　　要：OBJECTIVE To evaluate the incidence of residual thyroid cancer and cervical lymph node metastasis following a previous local resection for thyroid cancer, and to discuss methods of a reoperation. METHODS From 1994-2005, 118 patients with thyroid cancer who had previously been treated with a nodule-resection or subtotal Iobectomy in other hospitals underwent a surgical re-operation. RESULTS The incidence of residual cancer at the primary site was 38.1%. The lymph node metastasis rate at the central area was 39.8%. The rate of lymph node metastasis in patients with enlarged lymph nodes in the ipsilateral internal jugular chain was 37.5%, The rate of laryngeal recurrent nerve injury was 15.2% in other hospitals while that of the second operation in our hospital was 1.6%. CONCLUSION Nodule-resection or subtotal Iobectomy alone is not indicated for patients with thyroid cancer because of the high rate of local residual cancer. It is important to be familiar with the anatomy of the laryngeal recurrent nerve for thyroid surgery. Exploration to the central area is necessary for differentiated thyroid cancer.

关 键 词：thyroid neoplosm re-operotion. 

分 类 号：R736.1[医药卫生—肿瘤]