KẾT QUẢ ĐIỀU TRỊ UNG THƯ TUYẾN GIÁP THỂ NHÚ TẠI VIỆN Y HỌC PHÓNG XẠ VÀ U BƯỚU QUÂN ĐỘI

Abstract

Objective: Evaluation of surgical results of papillary thyroid carcinoma patients treated at the Military Institute of Radiation and Oncology. Subjects and Methods: A retrospective descriptive study on 62 patients diagnosed with papillary thyroid carcinoma who underwent total thyroidectomy or lobectomy and isthmusectomy at the Military Institute of Radiation and Oncology from 01/2018 to 01/2021. Results: The average age is 48,5 ± 12,2 years old; the most common age was < 55 years old (77,4%). 95,2% female, female/male ratio is 19,7/1. Common symptoms are detected thyroid tumor through health check (46,8%) and palpable tumor of neck (27,4%). The time of admission from the first symptoms is mostly < 6 months. Tumor location is common in the right lobe (46,5%); average tumor size was 28 ± 16 mm. Total thyroidectomy accounted for 69,4%.100% of patients have central cervical lymph node dissection, central and lateral neck dissection accounted for 21%, The rate of lymph node metastasis is 66.1%. There were no cases of distant metastasis. In terms of stage, the disease is mainly seen in stage I, accounting for 82.3%. Common early postoperative complications were hoarseness (8.1%) and numbness of hands and feet (17.7%), both occurred in patients with total thyroidectomy and lateral cervical lymph node dissection. Conclusions: Surgery therapy is an effective treatment for papillary thyroid cancer. At the Military Institute of Radiology and Oncology, total thyroidectomy is predominant, however, the rate of lobectomy and isthmus surgery is increasing due to the early arrival of patients. Surgery is an effective treatment with few complications.