Thyroid cancer is a common endocrine tumor in clinical practice. Whether unilateral resection of thyroid cancer is serious needs to be analyzed based on the specific situation. It is usually related to factors such as the pathological classification of thyroid cancer, surgical method, whether lymph node metastasis occurs, and whether distant metastasis exists. 1. Pathological classification: Thyroid cancer is mainly divided into four types: papillary thyroid cancer, follicular carcinoma, anaplastic thyroid cancer, and medullary thyroid cancer. Papillary thyroid cancer and follicular thyroid cancer are often divided into low, medium, and high differentiation in pathology, while anaplastic thyroid cancer is a type with a higher degree of malignancy and is also called anaplastic cancer in pathology. Patients with papillary thyroid cancer and follicular thyroid cancer, if there is no lymph node metastasis, and the tumor is small and highly differentiated, have a good prognosis after unilateral thyroidectomy, and the disease is generally not serious; 2. Surgical methods: Common surgical methods include total thyroidectomy, unilateral thyroidectomy, and laparoscopic total thyroidectomy. Papillary thyroid carcinoma and follicular thyroid carcinoma generally do not have lymph node metastasis. If it is an early stage papillary thyroid carcinoma or follicular thyroid carcinoma without distant metastasis, the prognosis is generally good and not serious after unilateral thyroidectomy. 3. Whether lymph node metastasis occurs: If the patient has lymph node metastasis, recurrence and metastasis may occur after unilateral thyroidectomy, which is more serious; 4. Whether there is distant metastasis: If the patient's tumor has not metastasized to distant places, the prognosis after surgical resection is good and not serious. If the patient's tumor has metastasized to distant places, the prognosis after surgical resection is generally poor and may even be life-threatening, which is more serious. After surgery, patients need to take long-term medications such as levothyroxine sodium tablets and have regular color Doppler ultrasound or CT scans. It is recommended that patients maintain a good mood and avoid excessive stress, emotional agitation and other negative emotions. In addition, patients should also pay attention to rest and avoid staying up late or overwork. |
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