Abstract:Objective:To investigate the method of surgical therapy in patients with differentiated thyroid cancer.
Methods :The clinical data of 759 patients with differentiated thyroid cancer treated in our hospital in recent 4 years were retcospectively analysed.
Results:Bilateral thyroidectomy was undertaken in all our patients.Pathological investigation indicated that multifocal differentiated thyroid carcinoma was found in 179 cases (23.6%), and co-existence of multinodular goiter, Hashimoto disease or Grave′s disease was found in 381 cases (50.2%). Among the 638 cases who received lymph node dissection of different extents, metastasis in cervical lymph nodes was found in 487 cases (76.3%). Complications after surgery were found in 26 cases (3.4%) .
Conclusions:Combining the guidelines from abroad and outcome of this group, it is recommended that bilateral thyroidectomy should be employed as routine therapy for differentiated thyroid carcinoma in China. The decision for lymph node dissection can be considered according to the stage of the tumor.