NHẬN XÉT CHỈ ĐỊNH PHẪU THUẬT BẢO TỒN ĐIỀU TRỊ UNG THƯ TUYẾN GIÁP TẠI BỆNH VIỆN QUÂN Y 103

Abstract

Lobectomy and isthmusectomy of thyroid is a new approach in the surgical treatment of differentiated thyroid cancer, aiming to minimize the complications of total thyroidectomy while still ensuring effectiveness of treatment. The study describes some clinical and paraclinical characteristics related to the indications of this surgical method at Military Hospital 103, from January 2019 to October 2021. As a result, 52 patients underwent surgery, the average of age was 32.9±8.2 years (12-57), the majority of women (rate of 90.4%), the female/male ratio was 9.4/1. The disease was mainly detected by examination regularly (when there are no symptoms) (rate 86.8%). On ultrasound, the average tumor size was 10.3 ± 6.3mm (4-28mm), tumor distribution in the right and left lobes was equivalent (25/27 cases), most had one tumor in the one lobe (rate of 90.4%), tirads grades IV and V accounted for the majority (86.5%), there was no case of tumor invasive the thyroid capsule. There were 19 patients with cervical lymph nodes detected on ultrasound. All lymph nodes were fine needle aspirated before surgery, but no metastatic lymph nodes were detected. Postoperative histopathology, 100% were papillary adenocarcinoma, of which 7.7% were follicular variants.