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《Chinese Journal of Clinical Oncology and Rehabilitation》 2004-06
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Short-term reoperation of thyroid cancer

WANG Feng,LIU Xu-shun, XIA Hong-cai,et al (The 81th Hospital of PLA, Nanjing 210002, China)  
Objective To investigate the cause,the indication,the timing and operative procedure of short-term reoperation for thyroid carcinoma.Methods A retrospective analysis was made on the clinical data of reoperation within 3 months in 33 cases of thyroid carcinoma from January 1994 to June 2003.Results Four-teen patients were found to have residual cancer in thyroid and its surrounding tissue. Four of them had cervical lymph node metastasis and 2 were found to have adenoma in contralateral thyroid.Twenty-two cases were followed-up for 6 months to 9 years(mean=4 yrs) after secondary operation, there was no carcinoma recurrence.Conclusions The main causes of short-term reoperation for thyroid carcinoma were missed diagnosis or misdiagnosis at the first operation and incorrect original operative procedures. Reoperation should be performed as early as possible when the indication for surgical reintervention was confirmed. Meanwhile, a proper procedure should be chosen to increase the long-term survival rate and reduce the occurrence of complications.
【CateGory Index】: R736.1
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