KẾT QUẢ SỚM PHẪU THUẬT UNG THƯ BIỂU MÔ TUYẾN GIÁP THỂ BIỆT HOÁ CÓ DI CĂN HẠCH CỔ BÊN TẠI BỆNH VIỆN K

Abstract

Objective: To evaluate the early surgical outcomes in patients with differentiated thyroid carcinoma with lateral cervical lymph node metastases. Materials and Methods: A cross-sectional descriptive study was conducted on 123 patients diagnosed with DTC with lateral neck lymph node metastases and treated at K Hospital from November 2022 to November 2024. Results: The male-to-female ratio was 1:3, with a mean age of 44.63 ± 12.87 years. Incidental tumor detection accounted for 69.9% of cases. Tumors located in a single thyroid lobe were observed in 69.1% of patients, and tumors ≤2 cm in size were found in 70.7%. Ipsilateral cervical lymph node metastasis occurred in 88.6% of cases, with 59.3% of metastatic nodes having a short-axis diameter ≥10 mm. Hospital stays of less than 10 days accounted for 97.6% of patients. Postoperative histopathology showed that papillary thyroid carcinoma accounted for 99.2% of cases, and 15.4% had no metastasis in central neck lymph nodes. At 72 hours post-surgery, complications included recurrent laryngeal nerve (RLN) injury in 32.5%, hypoparathyroidism in 20.3%, and chyle leak in 8.9%. These complications gradually improved, with most being temporary. Surgical outcomes were rated as good in 87.8% of patients at 1 month postoperatively and 97.6% at 6 months. Conclusion: Surgery for differentiated thyroid carcinoma with lateral cervical lymph node metastases provides favorable early outcomes and demonstrates high safety.