EVALUATION OF THE RESULTS OF SURGERY ON  DIFFERENTIATED THYROID CANCERS WITH LATERAL NECK DISSECTION AT THAI NGUYEN NATIONAL HOSPITAL

Lưu Thị Thúy Quỳnh; Hoàng Minh Cương; Trần Bảo Ngọc; Hoàng Thanh Quang

doi:10.34238/tnu-jst.11128

EVALUATION OF THE RESULTS OF SURGERY ON DIFFERENTIATED THYROID CANCERS WITH LATERAL NECK DISSECTION AT THAI NGUYEN NATIONAL HOSPITAL

About this article

Received: 18/09/24 Revised: 17/11/24 Published: 19/11/24

Authors

1. Luu Thi Thuy Quynh, TNU – University of Medicine and Pharmacy
2. Hoang Minh Cuong , TNU – University of Medicine and Pharmacy
3. Tran Bao Ngoc, TNU – University of Medicine and Pharmacy
4. Hoang Thanh Quang, Thai Nguyen National Hospital

Abstract

This study evaluated the early surgical results in patients diagnosed with differentiated thyroid cancer who underwent lateral neck lymphadenectomy at Thai Nguyen National Hospital. A retrospective study of 65 patients diagnosed with differentiated thyroid cancer with lateral neck dissection was performed at Thai Nguyen National Hospital from February 2022 to May 2024. The results showed that the average age was 48.71 ± 11.26 years old, mainly distributed in the age group of 30-69 years old. The disease is prevalent in women, with a female/male ratio of 12/1. Patients often come to the hospital for health check-ups (58.5%). The average tumor size is 1.48 ± 0.93 (Min-Max: 3 mm - 45mm). The rate of lymph node metastasis is 69.2% (45/65). The most common early complications at 72 hours after surgery are hypocalcemia (52.3%), hoarseness (12.3%), and lymphatic leakage (12.3%). Postoperative results showed that 66.2% of patients achieved average, and 33.8% of patients achieved good results. There were no cases with poor results. Evaluating the results of thyroid cancer surgery with lateral cervical lymph node dissection is very necessary to improve the treatment effectiveness at the research facility.

Keywords

Thyroid cancer; Differentiated; Lateral cervical lymph node dissection; Surgery results; Complication

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References

[1] F. Bray et al., "Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries," CA Cancer J Clin, vol. 74, no. 3, pp. 229-263, May-Jun 2024.

[2] C. M. Kitahara and A. B. Schneider, "Epidemiology of Thyroid Cancer," Cancer Epidemiol Biomarkers Prev, vol. 31, no. 7, pp. 1284-1297, Jul 01, 2022.

[3] N. Pstrąg, K. Ziemnicka, H. Bluyssen, and J. Wesoły, "Thyroid cancers of follicular origin in a genomic light: in-depth overview of common and unique molecular marker candidates," Mol Cancer, vol. 17, no. 1, p. 116, Aug 08, 2018.

[4] L. Boucai, M. Zafereo, and M. E. Cabanillas, "Thyroid Cancer: A Review," JAMA, vol. 331, no. 5, pp. 425-435, Feb 06, 2024.

[5] B. Schmidbauer, K. Menhart, D. Hellwig, and J. Grosse, "Differentiated Thyroid Cancer-Treatment: State of the Art," Int J Mol Sci, vol. 18, no. 6, pp. 110-126, 2017.

[6] C. X. Pham and H. X. Nguyen, "Early results of surgery for differentialized thyroid cancer at Hai Duong Provincial General Hospital," VietNam Medical Journal, vol. 536, no. 1, pp. 70-73, 2024.

[7] H. X. Nguyen, "Surgical outcome of well-differentiated thyroid cancer in male patients," Journal of Medical Research, vol. 138, no. 2, pp. 132-139, 2021.

[8] E. Chahardahmasumi et al., "Assessment of the Early and Late Complication after Thyroidectomy," Adv Biomed Res, vol. 8, p. 14, 2019.

[9] A. T. Pires, A. M. M. Mustafá, and M. O. G. Magalhães, "The 2017 ACR TI-RADS: pictorial essay," Radiol Bras, vol. 55, no. 1, pp. 47-53, Jan-Feb 2022.

[10] E. S. Cibas and S. Z. Ali, "The 2017 Bethesda System for Reporting Thyroid Cytopathology," Thyroid, vol. 27, no. 11, pp. 1341-1346, Nov 2017.

[11] C. N. Nguyen and L. T. Le, "Results and complication of thoracic duct embolization treatment for chylous leak," Journal of Medical Research, vol. 171, no. 10, pp. 1-8, 2023.

[12] Z. Wang et al., "Is routine drainage necessary after thyroid surgery? A randomized controlled trial study," Front Endocrinol (Lausanne), vol. 14, p. 1148832, 2023.

[13] A. M. Nguyen and N. H. Phan, "Evaluate results after open surgery for thyrroid cancer patients at Thai Binh General Hospital from 2018-2021," VietNam Medical Journal, vol. 516, no. 2, pp. 326-330, 2022.

[14] D. H. Dao, D. C. Le, Q. X. Ngo et al., "Early results of thyroid cancer surgery at Thanh Hoa Oncology Hospital," VietNam Medical Journal, vol. 532, no. 1B, pp. 27-30, 2023.

[15] H. V. Pham, H. V. Nguyen, H. X. Nguyen et al., "Evaluation of thyroid surgery results without drainage at Viet Nam National Cancer Hospital," VietNam Medical Journal, vol. 508, no. 1, pp. 186-189, 2021.

[16] E. Y. F. Huang et al., "Concordance of the ACR TI-RADS Classification With Bethesda Scoring and Histopathology Risk Stratification of Thyroid Nodules," JAMA Netw Open, vol. 6, no. 9, p. e2331612, Sep 05, 2023.

[17] L. V. Nguyen, L. N. Tran, and H. H. Phan, "Clinicopathological characteristics and early results of surgical treatment for pediatric thyroid cancer at National Hospital Endocrinology," Journal of Pediatrics - Vietnam Pediatrics Association, vol. 14, no. 4, pp. 23-28, 2021.

[18] E. T. Pavlidis and T. E. Pavlidis, "Role of prophylactic central neck lymph node dissection for papillary thyroid carcinoma in the era of de-escalation," World J Clin Oncol, vol. 14, no. 7, pp. 247-258, Jul 24, 2023.

[19] H. X. Nguyen, "Surgical outcomes of follicular thyroid cancer," Journal of Medical Research, vol. 143, no. 7, pp. 53-59, 2021.

DOI: https://doi.org/10.34238/tnu-jst.11128

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