70 Cases Of Clinical Analysis Of Surgical Treatment Of Papillary Thyroid Carcinoma

Objective:To evaluate the surgical methods and prognosis of patients with papillary thyroid carcinoma (PTC).Methods:We selected 70 Papillary thyroid carcinoma patients undergone radical thyroidectomy with or without selective lymph node dissection in Department Of breast and thyroid surgery at Shandong provincial hospital between 2005 and 2012, analyzed the clinicopathologic data and prognosis retrospectively. Results:We did Radical Thyroidectomy with selected lymph node dissection in 77.1% cases and reminders undergone Radical Thyroidectomy.44.3% tumor was <1cm in longest diameter.41.1% cases has no lymph node metastasis and 38.6% has central lymph node metastasis.16% cases found lymph node metastasis in the patients of clinical negative lymph node metastasis. Radio ablation by using radio Iodine (I131) needed in 5 patients and in 88.6% need thyroid hormone replacement after surgery.5.7% cases operative or postoperative complications observed. The rate of local recurrence is 5.7%, Distant metastasis of served in 2 cases were died after 1 year. Untill the last follow, the overall survival rate was 97.1%. Conclusion:Surgical management is a safe and increase survival with possibility of cure in papillary thyroid carcinoma and prophylactic central lymph node dissection is necessary. For the patient of late stage, radiotherapy after surgery will receive a promising outcome.