关键词: 局部进展期甲状腺癌, 外科治疗, 淋巴结清扫, 指南

Abstract: The surgical treatment strategy of locally advanced thyroid cancer  analyzed from domestic and foreign guidelines        CHENG Ruo-chuan, PENG Ying. Department of Thyroid Surgery, the First Affiliated Hospital of Kunming Medical University, Kunming 650032, China
Corresponding author:CHENG Ruo-chuan,E-mail:cruochuan@
foxmail.com
Abstract    Locally advanced thyroid tumors (TC) can obviously invade the surrounding important structures, and the surgical scope is wide, involving the resection and reconstruction of vital organs, and the surgical trauma and risk are relatively high, and the incidence of complications is relatively high. At present, the standard treatment plan for locally advanced TC) is still mainly surgery, supplemented by TSH inhibition, radioactive iodine (RAI) therapy, external radiation, and targeted therapy. However, in clinical practice, most clinicians choose diagnosis and treatment plans based on their own experience without reaching an effective consensus. To provide personalized treatment options for locally advanced patients, the focus should be on further improving the resection rate, reducing the risk of surgery, reducing the incidence of postoperative complications and mortality, prolonging the survival period, and ensuring the quality of life, and it is not possible to completely abandon treatment or reckless blind surgery. In addition, if we can further establish and improve the registration and follow-up system and quality control system of the local advanced TC population in China, a large number of real clinical practice data will be accumulated to form effective evidence-based medical evidence, and international unified guidelines fully recognized and accepted by mainstream scholars in the future will be gradually reached for the benefit of patients.

Key words: local advanced thyroid tumor, surgical treatment, lymph node dissection, guideline