Ho Chi Minh City, 6 months after having a tumor removed from her neck, Ms. Chanlina, 32 years old, was re-examined and discovered thyroid cancer. She had to undergo two more surgeries to completely remove the tumor.
Ms. Chanlina, a Cambodian, came to Tam Anh General Hospital in Ho Chi Minh City in December 2023, after undergoing two surgeries in her home country. The results of the ultrasound and 768-slice CT scan showed a 0.5 cm tumor in the thyroid gland. The results of the ultrasound-guided biopsy (Fine Needle Aspiration - FNA) showed that Ms. Chanlina had stage 1 malignant tumor.
On January 5, Master, Doctor CKII Doan Minh Trong, Head and Neck Unit, Tam Anh General Hospital, Ho Chi Minh City, said that Ms. Chanlina needs to have another surgery to completely remove the tumor containing cancer cells, then perform a pathological analysis to consider whether to continue taking radioactive iodine or not.
According to Dr. Trong, the thyroid tumor is in stage one, so the patient can return to normal life after surgery. However, re-surgery on the old incision is often more difficult, requiring modern machinery to clearly see the tumor location, completely cut and ensure the tumor is clean.
The team made an incision along the old incision line, then passed through the tissues to the thyroid gland. Dr. Trong cut out the entire thyroid gland and stopped the bleeding immediately, without damaging the 4 parathyroid glands or the recurrent laryngeal nerve (which controls the voice).
"Malignant tumors have not metastasized, so treatment is simple. Just surgically removing the tumor is good control," said Dr. Trong.
Doctor Trong (middle) performed surgery on a patient in June 2023. Photo: Nguyen Tram
The patient was able to talk and eat normally, the wound was dry, vital signs (blood pressure, blood oxygen...) were stable, and she was discharged one day after surgery. Ms. Chanlina also did not need to take radioactive iodine because the thyroid cancer had not spread to the neck lymph nodes.
According to statistics from the Global Cancer Organization (Globocan), in 2020, thyroid cancer ranked 9th among cancers in the world, with about 586,200 new cases. In Vietnam, thyroid cancer ranked 9th among common cancers, with more than 5,400 new cases.
Dr. Trong said the disease occurs three times more often in women than in men, possibly due to the relationship with the hormone estrogen (a sex hormone produced by the ovaries). Stage one or two thyroid cancer has an 85% chance of complete remission after initial treatment, which can be considered a cure.
Thyroid cancer control rates depend on many factors such as the type and stage of cancer, the patient's age, overall health, and the effectiveness of the treatment plan.
Doctors recommend that people should be screened if they notice abnormalities in their thyroid gland. After treatment, they should have regular check-ups as prescribed.
Nguyen Tram
* Patient name has been changed
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