KẾT QUẢ SỚM PHẪU THUẬT CẮT TOÀN BỘ TUYẾN GIÁP ĐIỀU TRỊ UNG THƯ TUYẾN GIÁP THỂ BIỆT HÓA TẠI BỆNH VIỆN NỘI TIẾT THANH HÓA

Abstract

Objective: Evaluate the clinical and paraclinical characteristics of and early results of total thyroidectomy to treat differentiated thyroid cancer at Thanh Hoa Endocrine Hospital. Research subjects and methods: Descriptive study on patients diagnosed with differentiated thyroid cancer, undergoing total thyroidectomy at the Department of General Surgery, Thanh Hoa Provincial Endocrinology Hospital since February 2022 to June 2023. Results: 150 patients have involved this study with mean age is 50,9 ± 13.2; 94.7% of female. 40% of patients go to the hospital because they see a neck tumor, goiter grading according to WHO 2014 grade II 80%. On clinical examination, 86.7% density was hard and firm; limited mobility 81.3%, clinical cervical lymphadenopathy 9.3%. Ultrasound tumor size 1 - 4cm 75.3%, TIRADS 4 68%, 2 lobes 66%; lymph nodes on ultrasound 12%. Preoperative cytology for malignant thyroid cancer and suspected malignancy in 77.4%. Total thyroidectomy and prophylactic cervical lymphadenectomy group VI 73.3%. Histopathology after surgery for papillary thyroid carcinoma 88.7%. Complications of hoarseness after surgery are 6%, numbness in the hands and feet is 4%. Evaluating early results, 1 month: 87.3% good, 3 months: 94.7% good, 6 months: 99.3% good. Conclusion: Differentiated thyroid cancer is more common in women, the tumor is often firm, has limited mobility, and is often TIRADS 4. Treatment is mostly total thyroidectomy and prophylactic lymph node dissection in group VI, hoarseness is common after surgery, and the early results after surgery are mostly good