KẾT QUẢ SỚM PHẪU THUẬT UNG THƯ TUYẾN GIÁP TẠI BỆNH VIỆN UNG BƯỚU THANH HÓA

Abstract

Objectives: To study clinicopathological characteristics and result of surgery in papillary thyroid carcinoma. Patients and method: 142 thyroid cancer patients were operated on at Thanh Hoa Oncology Hospital from March 2020 to March 2023. Retrospective and cross-sectional descriptive study. Results: Female/Male ratio was 7,8/1, mean age was 47.4 ± 13 years old, popular in age < 55 years old at 67.6%. The main reason for admission to the hospital was by chance detection of thyroid (61.3%). The rate of palpating the tumor on clinical examination (78.9%), evaluating the tumor on ultrasound is mainly TIRADS 4 (77.5%), the rate of fine needle aspiration cytology to diagnose malignancy is (52,8%) doubt it is (39%). The rate of patients undergoing isthmic lobectomy and total thyroidectomy was 23.9% and 76.1%, in each group the rate of accompanying lymph node dissection was 17.6% and 96.3%, respectively lymph node metastasis (45.8%), the rate of potential lymph node metastasis is (24.6%), in which male gender, 2 lobe cancer and tumor breaking the margin have statistical significance with lymph node metastasis (P<0.05). Most of surgical complications at 72 hours were transient hoarse voice and transient hypocalcemia were 26,8% and 24,6%.