Abstract:Objective:To summaize our experience in surgical treatment of differentiated thyroid carcinoma(DTC).
Methods :The clinical data and followup results of 110 cases of DTC were retrospectively analysed.
Results:All of the 110 patients received operation and TSH suppression therapy. Histologic examination after operation revealed papillary thyroid carcinoma(PTC) in 88 cases(80%), follicular thyroid carcinoma in 22 cases(20%), and cervical lymph node metastasis was found in 22 cases(20%). The operative procedure included excision of the affected lobe, isthmus and greater part of the opposite lobe in 51 cases (along with functional cervical dissection in 12 cases); excision of the affected lobe, and isthmus in 29 cases (along with functional cervical dissection in 7 cases); excision of the affected lobe, isthmus and greater part of the opposite lobe in 18 cases (along with functional cervical dissection in 5 cases); total thyroidectomy and bilateral cervical dissection in 2 cases; total thyroidectomy and bilateral cervical dissection with postoperative 131I therapy in 1 case who had lung metastasis. Following up of 98 cases showed the 10year survival rate was 91.8%.
Conclusions:Differentiated thyroid carcinoma has a good prognosis. Proper selection of surgical procedure is the key point for a good outcome.