Do you need to have a total resection on one side of thyroid cancer?
Thyroid cancer is a common endocrine tumor in clinical practice, and whether thyroid cancer needs to be completely resected depends on the pathological classification of thyroid cancer, the location of the lesion, the presence of lymph node metastasis, and whether it has familial hereditary characteristics.
Most patients with thyroid cancer need to undergo a total resection when they have lymph node metastasis, and a small number of patients without lymph node metastasis can also undergo partial resection.
1. Pathological classification: Thyroid cancer can be divided into stage I, stage II, stage III and stage IV according to TNM staging criteria. If the patient has early-stage thyroid cancer, no lymph node metastasis, and the lesion is at the edge of the thyroid gland, a total thyroidectomy can usually be performed;
2. Lesion location: If the patient has thyroid cancer at the lesion site, especially papillary thyroid cancer, and the papillary cancer has not metastasized to the lymph nodes, it is generally necessary to undergo a total thyroidectomy, and at the same time cooperate with cervical lymph node dissection, which includes bilateral cervical lymph nodes to avoid cervical lymph node recurrence or distant metastasis after surgery;
3. Whether there is lymph node metastasis: If the patient has thyroid cancer accompanied by cervical lymph node metastasis, or distant organ metastasis, including lung metastasis, liver metastasis, etc., it is necessary to completely resect the thyroid gland, and cooperate with postoperative lymph node dissection, as well as functional dissection of the lungs and liver to prevent serious postoperative complications;
4. Whether it is hereditary: if there are more than one person in the patient's family who has thyroid cancer, the patient needs to undergo total thyroidectomy, and other patients can choose corresponding adjuvant treatment, such as radionuclide therapy, according to their condition.
In addition, whether the patient needs to have a total thyroidectomy needs to be determined by a professional doctor based on the patient's own condition. It is recommended that patients be admitted to the hospital and treated in time after being diagnosed with thyroid cancer to avoid delaying the disease.