Thyroid cancer surgeries in cervical lymph node metastases

Abstract

There have been analyzed the results of 180 patients operated for thyroid cancer with cervical lymph node metastases. The group of patients included 3,200 cases of thyroid cancer subject to surgery at the „Head and neck tumors” Department of Oncology Institute of the Republic of Moldova. There were developed two methods of surgery: cervical „sheath” gaglionic escape; thyroid variant and Crile`s surgery. In our study there were performed 114 subtotal resections, thyroidectomy being performed in 50 cases and hemithyroidectomy in 46 cases. The cellular-adipose tissue excision was performed in 210 cases (31 Crile`s surgeries and 175 „sheath” excisions). Extirpation of the hemolateral lobe or subtotal resection of the thyroid gland is recommended in impalpable tumors in primary focus with obvious lymph node metastases. Key words: thyroid gland cancer, thyroid metastases, surgery