Abstract:

Objective     To explore the relative problem of thyroid cancer on surgical treatment. Methods     28 patients were diagnosed both on intraoperation frozen section and postoperation paraffin section. Results    the  result of two patients differed on intraoperation and postoperation pathology; 22 were papillary carcinoma, 3 were follicular carcinoma, 1 were papillary carcinoma and pooly differentiated carcinoma, 1 were malignant lymphoma, 1 were medullar  carcinoma, 1 were small cell cancer. About the operation patterns, 2 were enlarged total thyroidectomy, 8 were  total thyroidectomy, 10 were unilateral lobectomy plus isthmectomy, the lobe、 isthmus and the other patial lobe were resected in 7 patients,  the tumor were resected locally in 1 patient; 5 were bilateral cervical node  dissection, 6 were unilateral cervical node  dissection. There was no dead case,1 were  newly found hoarseness due to vocal cord paralysis, 2 were tic due to hypocalcemia. Conclusion    Intraoperation frozen section was  helpful to the diagnosis and operation of thyroid cancer.The pathology and extent of the cancer is important factor to decide the opration pattern.

Key words: Thyroid cance; Surgical opration