What to do if the incision is large after thyroid cancer surgery

The surgical incision for thyroid cancer is large, so it is necessary to choose the appropriate method to treat it according to the actual situation of the patient. If the patient is in the middle or late stage of the tumor and is in poor general condition and is not suitable for surgical treatment, radioactive iodine-131 treatment can be considered. If the patient's condition is stable and there is no sign of cervical lymph node metastasis or distant metastasis, microwave ablation, radiofrequency ablation and other methods can also be selected for treatment.

1. Surgical treatment:

1. Radioactive iodine-131 treatment: Iodine-131 is sent into the thyroid gland, and the radiation is used to destroy the thyroid follicular epithelium, shrinking the thyroid gland without affecting the adjacent tissues, reducing damage to the contralateral thyroid gland, and achieving the purpose of treatment;

2. Microwave ablation: If the patient's surgical incision is large and affects the surrounding tissues, such as invading the recurrent laryngeal nerve, esophagus, trachea, etc., microwave ablation can be performed above and below the thyroid surgical incision;

3. Radiofrequency ablation: Radiofrequency ablation is a procedure in which an electrode needle is inserted into the thyroid lesion under the guidance of an electrode, and high temperature is used to coagulate and kill the tumor cells, thereby gradually shrinking the lesion.

4. Other surgical methods: In addition to the above surgical methods, patients can also choose thyroid artery embolization, thyroidectomy and other methods to alleviate the condition under the guidance of doctors.

2. Microwave ablation:

Microwave ablation is guided by the high-frequency electromagnetic field of microwaves to raise the temperature of the thyroid lesions and surrounding tissues to about 60°C, causing tissue protein denaturation, coagulation, and necrosis, achieving an ablation effect. Microwave ablation has the characteristics of simple operation, good ablation effect, few side effects, and accurate positioning.

3. Radiofrequency ablation:

Radiofrequency ablation is a procedure in which an electrode needle is placed into the thyroid lesion under electrode guidance. The electric current then generates a thermal effect, causing the tumor cells to coagulate and necrotize without affecting adjacent tissues. It can treat poorly differentiated parafollicular cells and target tissues.