專題討論12:甲狀腺腫瘤多專科診療照護之最新發展
Updates on Multidisciplinary Management of Thyroid Tumors

程 序 表

S12-4
Update on Surgical Management of Well differentiated Thyroid Carcinoma Focusing on Preoperative Decision making and Postoperative Arrangement
陳漢文
高雄醫學大學附設醫院外科部

A.Preoperative preparation
 1.Diagnosis and surgical indication
 2.Preoperative planning
 3.Surgeon ultrasound confirmation and nodal mapping
 4.CT scan indication
 5.Preoperative esophagus, trachea, vocal cord survey
 6.Limited surgery
 7.Extensive surgery
 8.Palliative surgery
B.Intraoperative consideration
 1.Frozen biopsy
 2.Total or less than total thyroidectomy
 3.Curative or palliative resection
 4.Prophylactic or therapeutic nodal dissection
 5.Compartmental nodal dissection or selective nodal dissection
 6.Boundary of nodal dissection
 7.Size of node and nodal recurrence
 8.Intraoperative neuromonitoring usage
C.Postoperative management
 1.Risk of recurrence
 2.Indication of radioactive iodine therapy
 3.Therapeutic or medical radioactive iodine ablation
  -- Fixed dose
  -- Fraction dose
 4.Post-treatment radioactive iodine whole body scan
 5.Surgery for the isolated metastatectomy
 6.Radiation therapy
 7.Target therapy
 8.Follow up of the local recurrence and distal metastasis