PT  - JOURNAL ARTICLE
AU  - Hang, Jianping
AU  - Meng, Dong
AU  - Li, Liqi
TI  - Evaluation of 118 Thyroid Cancer Patients Who Underwent a Re-operation after Local Resection
DP  - 2005 Oct 01
TA  - Chinese Journal of Clinical Oncology
PG  - 800--804
VI  - 2
IP  - 5
4099  - http://www.cancerbiomed.org/content/2/5/800.short
4100  - http://www.cancerbiomed.org/content/2/5/800.full
SO  - Cancer Biol Med2005 Oct 01; 2
AB  - OBJECTIVE To evaluate the incidence of residual thyroid cancer and cervical lymph node metastasis following a previous local resection for thyroid cancer, and to discuss methods of a reoperation.METHODS From 1994∼2005, 118 patients with thyroid cancer who had previously been treated with a nodule-resection or subtotal lobectomy in other hospitals underwent a surgical re-operation.RESULTS The incidence of residual cancer at the primary site was 38.1%. The lymph node metastasis rate at the central area was 39.8%. The rate of lymph node metastasis in patients with enlarged lymph nodes in the ipsilateral internal jugular chain was 37.5%. The rate of laryngeal recurrent nerve injury was 15.2% in other hospitals while that of the second operation in our hospital was 1.6%.CONCLUSION Nodule-resection or subtotal lobectomy alone is not indicated for patients with thyroid cancer because of the high rate of local residual cancer. It is important to be familiar with the anatomy of the laryngeal recurrent nerve for thyroid surgery. Exploration to the central area is necessary for differentiated thyroid cancer.