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| Clinical Analysis of Reoperation in 94 Cases of Patients with Thyroid Carcinoma |
| SHI Gaoyang, LU Hui, WANG Ying |
| The First Affiliated Hospital of Nanjing Medical University, Jiangsu Nanjing 210029, China |
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Abstract Objective: To implement clinical analysis of reoperation in 94 cases of patients with thyroid carcinoma in our hospital, and to provide a theoretical basis for the choice of mode and timing of reoperation. Methods: This study included 94 cases of reoperated patients with thyroid carcinoma in our hospital from June 2013 -June 2015, the medical records of 94 cases were retrospectively analyzed, and paraffin section diagnosis was taken again, the first operation mode, time of first operation to reoperation, reoperation causes and reoperation mode were recorded, through 2 years of follow up, prognosis after reoperation was observed. Results: There were 12 cases of reoperation at recent period (2~30d) of the first operation , the proportion was 12.77%, mid term (31d~1y) had 40 cases, the proportion was 42.55%, later period (＞1y) had 42 cases, the proportion was 44.68%; There were 78 cases showed causes of reoperation were recurrence and lymph node metastasis, the proportion was 82.98%, residual tumor after first operation had 16 cases, the proportion was 17.02%; The second pathological diagnosis showed thyroid papillary carcinoma of 80 cases, the ratio was 85.11%, 8 cases of medullary carcinoma, the ratio was 8.51%, 6 cases of follicular carcinoma, the proportion was 6.38%; Reoperation mode were 37 cases of total thyroidectomy, 33 cases of unilateral lobe and isthmus resection, 16 cases of unilateral lobe, isthmus, and contralateral subtotal resection, 4 cases of simple selective lymph node dissection, 4 cases of radical thyroidectomy and total laryngectomy; Two years of follow-up after operation, 2 cases of death due to multiple lung metastasis, 1 case of partial recurrence death due to suffocation, the rest were tumor-free survival. Conclusion: Partial recurrence, lymph node metastasis, residual tumor after surgery are major causes of reoperations in patients with thyroid carcinoma, pathological diagnosis are mainly thyroid papillary carcinoma, surgery mode of reoperation shall be based on color ultrasound, CT, FNAC examination.
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2017, Vol. 23 
