給甲狀腺病友簡單的參考，甲狀腺癌怎麼切除?
摘自 ATA 2015
Near-total or total thyroidectomy is necessary if the overall strategy is to include RAI therapy postoperatively, and thus is recommended if the primary thyroid carcinoma is >4 cm, if there is gross extrathyroidal extension, or if regional or distant metastases are clinically present.
For tumors that are between 1 and 4 cm in size, either a bilateral thyroidectomy (total or near-total) or a unilateral procedure (thyroid lobectomy) may be suitable as treatment plan.
Older age (>45 years), contralateral thyroid nodules, a personal history of radiation therapy to the head and neck, and familial DTC may be criteria for recommending a bilateral procedure because of plans for RAI therapy or to facilitate follow-up strategies or address suspicions of bilateral disease.
甲狀腺癌 >4 公分: 全切除是必要的, 因為需要術後放射碘診療
甲狀腺癌 1-4 公分: 全切除或單葉切除都可以考慮, 但如果有下列任一項:
(1) >45歲,
(2) 另一側有結節
(3) 曾經頭頸部接受輻射
(4) 有甲狀腺癌家族史
全切除是必要的 (因為需要術後放射碘診療或是可能兩側都有癌症)
