[Surgical treatment for patients with late-stage thyroid carcinoma].

ABSTRACT

OBJECTIVE: To explore the value of surgical treatment for patients with late-stage thyroid carcinoma. METHOD: Eleven cases of late-stage thyroid carcinoma underwent radical neck lymphnode dicission of the affected side plus functional neck lymphnode dicission on the opposite side. Three of them received lobectomy of the affected sides and excission of the isthmus. Six cases received lobectomy of affected sides, excission of isthmus and subtotal thyroidectomy of the opposite side; 2 of them received total thyroidectomy and parathyroid transpiantation. RESULT: With 9 cases followed up, 8 cases survived without recurrence and advancing. One for 6 years, 1 for 5 years, 2 for 3 years, 3 for 2 years and 1 for 1 year. The other one died, suffered from papillary adenocarcinoma combined with metastatic adenocarcinoma. CONCLUSION: For patients with late-stage thyroid carcinoma, operation should be performed as possible. Postoperative thyroid hormone administration could inhibit the development of the primary and metastatic lesions effectively. Preservation of parathyroid glands could improve the patient's life quality.