Papillary thyroid carcinoma is the most common thyroid cancer, thyroid cancer accounted for 60% -70% of, a low degree of malignancy. Occurs in young women. 1:2.7.20 female ratio was significantly increased after the age of 30 to-40 in patients with disease up to 50 years of age decreased significantly. To cervical lymph node metastasis the most common, normally 40% to 50%, up 68.72% ~ 84.60%.
Characteristics of papillary thyroid carcinoma has a low degree of malignancy, lymph node metastasis rate, occurs in young women and so on, so the surgery must take full account of these factors. Radical surgery is necessary, but should take into account the development of surgical programs to the beauty and postoperative function.Thyroid cancer surgery to include a Gland and cervical lymph node excision of the range on two aspects of the treatment.
Patients often no symptoms, and slow-growing cancer, the general treatment later, from the onset to treatment of up to 10-30 years. More than the lack of obvious clinical malignant behavior, about half of misdiagnosed as benign. Tumors were single, a small number of multiple or bilateral disease, more than half of the hardness is soft, only 1 / 4 hard, irregular, the edge is unclear, the general activity were good, some less tumor activity. Small tumors may less than 1cm, often difficult to reach, often the main demands of cervical lymph node metastasis diagnosis. Tumor larger than 10cm diameter or larger, often accompanied by cystic change, often misdiagnosed as a thyroid cyst. Late can affect soft tissue tumors or tracheal cartilage leaving a fixed, or involving the recurrent laryngeal nerve Erzhi hoarseness. Small with various degree of difficulty in breathing, swallowing discomfort and other symptoms.