CHỈ ĐỊNH PHẪU THUẬT MỔ MỞ CẮT MỘT THÙY TRONG UNG THƯ TUYẾN GIÁP THỂ BIỆT HÓA TẠI BỆNH VIỆN NỘI TIẾT TRUNG ƯƠNG

Abstract

Different thyroid cancer (DTC) remains the most malignancy tumor in endocrine glands, indication of lobectomy in the early stage is often. Objective: to review the indication of open thyroid lobectomy treatment for thyroid cancer. Subjects: including 80 patients who operated at national hospital endocrinology from January 2021 to March 2022. Research method: A retrospective study. Results:  the rate of females was 90%, the mean age of patients was 40,29 ± 9,37, most cases were from 31 to 50 years old, and 88,8% of patients have thyroid nodules which incidental examined. Nodules were examined at 21,2%, the rate in left lobes was 47,1%, and right lobes were 52,9%. In ultrasound thyroid glands, the proportion of TRIADS 4 and TIRADS 5 were 45 and 53,7%. Mean tumor size were 0,6±0,19cm, range from 0,3cm to 1cm. Most patients have papillary thyroid cancer (93,8%) and 6,2% of Follicular thyroid cancer. Only 1 patient (1,2%) has a complication, who was temporary hoarseness and recovered after three months. Conclusions: indications of lobectomy in DTC with stage I, tumor size ≤ 1cm, not extracapsular, and no lymph node metastasis are efficient and safe.