CAJ | 학술논문

目的探讨双侧甲状腺癌的诊断与外科治疗.方法回顾分析36例双侧甲状腺癌外科治疗临床资料.结果术后石蜡切片均证实为双侧甲状腺癌,11例舣侧淋巴结转移,18例一侧有淋巴结转移.术后未出现永久性甲状旁腺功能减退,无颜面部水肿.4例喉返神经麻痹,2例2周内恢复,2例未恢复.1例淋巴瘘.36例随访4个月～10年,24例无瘤生存,4例出现颈部淋巴结转移.3例死亡.结论双侧甲状腺癌主张行双侧甲状腺腺叶全切除.对非微小癌应常规行改良颈淋巴结清扫术.
목적 탐토쌍측갑상선암적진단여외과치료.방법 회고분석36례쌍측갑상선암외과치료림상자료.결과 술후석사절편균증실위쌍측갑상선암,11례의측림파결전이,18례일측유림파결전이.술후미출현영구성갑상방선공능감퇴,무안면부수종.4례후반신경마비,2례2주내회복,2례미회복.1례림파루.36례수방4개월～10년,24례무류생존,4례출현경부림파결전이.3례사망.결론 쌍측갑상선암주장행쌍측갑상선선협전절제.대비미소암응상규행개량경림파결청소술.
Objective To evaluate the bilateral thyroid carcinoma diagnosis and surgical treatment.Methods The clinical data of 36 cases of bilateral thyroid carcinoma of surgical treatment was retrospectively analyzed.Results All cases were confirmed as bilateral thyroid carcinoma by paraffin section post-operatively.11 cases had metastasis in bilateral lymph nodes,and 21 cases with metastasis in unilateral lymph nodes.No permanent hypo-parathyroidism or facial edema occurred.Other postoperative complications included recurrent laryngeal nerve paralysis which was resolved 2 weeks later in 4 cases,lymphatic fistula in 1 case.36 cases were followed up from 4 months to 10 years post-operatively,with tumor-free survival in 24 cases,and cervical lymph node metastasis in 4 cases and death in 3 cases.Conclusion Total thyroidectomy is advised for bilateral thyroid carcinoma.It is necessary to emphasize the importance of functional radical neck dissection in non-microcarcinoma.