KẾT QUẢ SỚM PHẪU THUẬT UNG THƯ TUYẾN GIÁP THỂ BIỆT HOÁ TẠI TRUNG TÂM UNG BƯỚU BỆNH VIỆN ĐA KHOA TỈNH HẢI DƯƠNG

Abstract

Objectives: Assessment of the early result of surgery for differentialized thyroid cancer at Hai Duong Provincial General hospital. Subjects and Methods: A retrospective study on 51 patients were diagnosed with differentiated thyroid carcinoma, operated at Hai Duong Provincial General hospital from March 2022 to March 2023. Result: 84.31% of patients went to hospital because of neck tumors, ages 61 to 70 rate was 29.41%, women patient rate was 80.4%, female/male ratio was 4.1/1. Clinical examination showed 1 tumor rate was 82.35%, solid density; clinical cervical lymph nodes rate was 21.57%. Ultrasound of tumor’s size ≤2cm rate was 78.43%, TIRADS 4 rate was 62.75%, in the right lobe rate was 45.1%; lymph nodes on ultrasound rate was 31.37%. Preoperative cytology of thyroid cancer rate was 76.47%, lymph node metastasis was 68.75%. Total thyroidectomy rate was 74.51%, selective neck lymph node dissection rate was 31.37%, prophylactic cervical lymph node dissection rate was 27.45%. Postoperative histopathology: papillary thyroid carcinoma rate was 94.12%. Tetany complications after surgery rate was 21.57%. Evaluate early results, after 1 month: 96.08% good, after 6 months: 98.04% good. Conclusion: Differentiated thyroid cancer is detected by a neck tumor, commonly in women, usually one tumor, solid, rarely metastases to the neck lymph nodes, treatment is total thyroidectomy and selective or prophylactic neck lymph node dissection. Tetany is common after surgery, the early results after surgery are mostly good.