关键词: 甲状腺癌, 甲状腺切除术, 颈淋巴结清扫, 质量控制

Abstract:

Consensus and controversy in the quality control of thyroid cancer surgery        WU Yi, SUN Tuan-qi. Department of Head and Neck Surgery, Fudan University Shanghai Cancer Center (FUSCC); Department of Oncology, Shanghai Medical College of Fudan University;Fudan University Thyroid Tumor Research Center，Shanghai200032, China
Corresponding author: SUN Tuan-qi, E-mail: tuanqisun@163.com
Abstract    There has been a worldwide increase in the incidence of thyroid carcinoma. The rapid increase in the rate of papillary thyroid carcinoma is likely caused by improved surveillance.To improve the therapeutic outcome and reducethe recurrence rate, the most effective way is to standardizeinitial surgical management. Accurate staging, appropriate extent of thyroidectomy and lymph node dissection, are the most notable issues.Thyroid lobectomy alone is sufficient treatment for small, unifocal, intrathyroidal carcinomas.Routine ipsilateral level Ⅵ lymph node dissectionin cN0 thyroid carcinoma can be carried outwith no increased morbidity and may decrease the need for further operations.Prophylactic lateral neck dissection is generally not performed for cN0thyroid carcinoma.

Key words: thyroid cancer;thyroidectomy, neck dissection, quality control