What is the difference between half and subtotal resection for thyroid cancer

Thyroid cancer is a common endocrine tumor in clinical practice, if the patient is diagnosed with thyroid cancer, he should go to the hospital in time for surgical treatment under the guidance of the doctor, and thyroid cancer hemirectomy and subtotal resection may recur and metastasize, so the appropriate treatment plan should be selected according to the specific situation of the patient.

1. Thyroid cancer halve:

1. Residual lesions: If there is residual tumor in the thyroid bed seen by the naked eye during surgery, thyroid re-exploration should be carried out, and total thyroidectomy should be performed as appropriate;

2. Lymph node metastasis: If there is no metastasis of the lymph nodes seen by the naked eye during the operation, surgical treatment should be carried out along the scope of lymph node dissection.

3. Vascular invasion: If tumor vascular invasion is found in the thyroid bed during surgery, radionuclide examination such as radionuclide iodine-131 should be used before surgery to clarify the specific location and scope of vascular invasion, and appropriate treatment should be carried out during the operation, so as to reduce intraoperative bleeding and alleviate the patient's symptoms;

4. Other conditions: If the scope of surgical resection is large, resulting in parathyroid gland damage, causing patients to have symptoms such as hypothyroidism, levothyroxine sodium tablets and other drugs should be given for treatment.

2. Subtotal resection of thyroid cancer:

If the patient finds no residual tumor in the thyroid bed and no metastasis in the cervical lymph nodes during the preoperative examination, subtotal resection surgery can be performed under the operation of a professional doctor.However, due to the fact that subtotal thyroid cancer surgery may cause damage to the recurrent laryngeal nerve, the recurrent laryngeal nerve should be protected during the operation, and the patient should be observed for hoarseness and other symptoms after surgery.

For patients with thyroid cancer, it is recommended to have regular follow-up examinations after timely treatment, so as to detect recurrence or metastasis in time and facilitate timely countermeasures.