Differentiated thyroid cancer treatment progress.docVIP

 PAGE \* MERGEFORMAT 15 Differentiated thyroid cancer treatment progress [Keywords:] thyroid cancer Differentiated thyroid cancer accounts for the vast majority of thyroid cancer, thyroid follicular cell origin, including papillary carcinoma and follicular carcinoma. Papillary thyroid cancer is the most common cancer, showed a multi-center, no capsule, 1 / 3, the transfer can occur in patients, the most common site of metastasis is the lymph nodes, followed by the lungs. follicular thyroid cancer cell carcinomas account for 5% to 10%, the capsule, capsule is a violation of the characteristics of tumor spread, the prognosis depends the degree of tumor differentiation, and whether there has been spread. follicular cell carcinoma metastasis to the bone, causing osteolytic destruction. In general, the prognosis of differentiated thyroid cancer well, even in the 5% to 20% of lymph node metastasis patients and 10% to 15% of patients had distant metastasis, the 10-year survival rate was still 80% to 95%. lead to poor prognosis factors: male, age, larger tumors, poorly differentiated, have with local invasion and distant metastasis. 1 surgery Surgery is the treatment of first use for all thyroid cancer larger than 1cm. In the surgical choice, the current line of foreign claims accounted for the majority of total thyroidectomy, some scholars have advocated total thyroidectomy line, this technique all thyroid tissue type can be removed, you can make serum thyroglobulin (Tg levels to a minimum. thyroidectomy surgery for surgeons are higher, by experienced physicians need to be implemented to reduce complications, such as a next to the reduction, the incidence of recurrent laryngeal nerve injury. subtotal thyroidectomy a lower risk of surgery, the complication rate low, but the high side if the residual thyroid tissue, then further processing after impact with radioactive iodine the removal of the residual thyroid tissue success rate will be lower. 2 furth