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[Differentiated microcarcinoma of the thyroid gland in 45 cases]
1Department of Otolaryngology-Head and Neck Surgery, Renji Hospital, Shanghai Second Medical University, Shanghai 200001.
Objective:
To offer therapeutic management for patients with microcarcinoma of the thyroid gland (TMC).
Method:
Forty-five patients with TMC were treated from 1993, including 10 males and 35 females. Homolateral total thyroidectomy + contralateral subtotal thyroidectomy + homolateral functional neck dissection was taken as routine.
Result:
Among 168 patients with differentiated carcinoma of the thyroid gland, 45 patients were TMC (26.78%). Homolateral metastasis of lymph node presented in 11 (24.44%) of the TMC patients. No operation complications. All patients were followed up. No recurrence, no death.
Conclusion:
The lymph node metastasis appears to be high. Homolateral total thyroidectomy + contralateral subtotal thyroidectomy + homolateral functional neck dissection was effective and essential.