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[Clinical analysis of reoperation for recurrence thyroid carcinoma in 87 cases]
1Department of Surgical Oncology, the First Affiliated Hospital of Bengbu Medical College, Bengbu, 233004, China.
Objective:
To explore the cause and the methods of reoperation for recurrent thyroid carcinoma.
Method:
The clinicopathologic data of 87 cases were retrospectively analyzed. The diagnosis on recurrent thyroid carcinoma were confirmed after reoperative pathology.
Result:
Forty-three cases (49.4%) were confirmed as residual carcinoma by pathology. Among 87 cases, 65 cases (74.7%) had lymph node metastasis in group VI and 42 cases (48.3%) had lateral neck lymph nodes metastasis, 3 cases were in the presence of recurrent laryngeal nerve injury temporarily, 1 case was in the presence of recurrent laryngeal nerve injury permanently, 5 cases were convulsed by hypocalcemia.
Conclusion:
The nonstandard surgical procedure in the first operation is the main cause for the reoperation of thyroid carcinoma. Increased cognitive level of thyroid carcinoma and appropriate surgical technique may be the important keys to avoid reoperating. It is necessary to protect the parathyroid and recurrent laryngeal nerve in reoperation.
