ĐẶC ĐIỂM LÂM SÀNG VÀ CẬN LÂM SÀNG BỆNH NHÂN UNG THƯ TUYẾN GIÁP THỂ NHÚ GIAI ĐOẠN CT1BN0M0 ĐƯỢC PHẪU THUẬT NỘI SOI TUYẾN GIÁP QUA ĐƯỜNG TIỀN ĐÌNH MIỆNG TẠI BỆNH VIỆN K

Abstract

Objectives: To evaluate the clinical and subclinical characteristics of cT1bN0M0 papillary thyroid carcinoma treated by transoral endoscopic thyroidectomy vestibular approach in Vietnam National Cancer Hospital. Patients and methods: A retrospective study of 41 patients with cT1bN0M0 papillary thyroid carcinoma treated by transoral endoscopic thyroidectomy vestibular approach from January 2019 to December 2023 at Vietnam National Cancer Hospital. Results: The mean age was 30,2 ± 6,9 years. Most patients were female, accounting for 97,6%. The accidental detection of thyroid nodules during physical examination was the most common reason for hospitalization, accounting for 80.5%. The rate of palpable tumors on clinical examination was about 56,1%. Mainly detect tumors when they were still mobile (91.3%), solid density (86.9%). On neck ultrasound, the most common hypoechoic image of tumor accounted for over 80,5%, microcalcification accounts for 58.5%. TIRADS 4,5 had the highest rate, accounting for 65.9% and 26.8% respectively. On FNA results, the majority of patients had malignant results, accounting for 70.7%. Conclusions: Most patients with cT1bN0M0 papillary thyroid carcinoma treated by transoral endoscopic thyroidectomy vestibular approach occur in young women. Neck ultrasound and thyroid fine needle aspiration biopsy played important roles in treating cT1bN0M0 papillary thyroid carcinoma.