Thyroid cancer is the most common endocrine malignancy with variable histologic and physiologic characteristics so various surgical modes of treatment were employed. A clinical analysis was made on 182 cases of thyroid cancer which were managed
in
the
period from September 1983 to December 1990 at the department of sugery, Guro Hospital, college of medicine, Korea University. Operation was performed on 173 cases(95%) including 2 case of recurrent cancer. The prevalent age was relatively evenly
distributed throughout the 3rd to 6th decade, and the ratio of male to female was 1 : 3.7. The most common clinical finding was a mass on the anterior aspect of the neck. An euthyroid of th thyroid function test was predominant in 172 cases(95%).
Among
the 733 cases of thyroid masses treated surgically during the same period, a coexistence of cancer with benign lesion was noted on the 67 cases. Of the 173 cases, subtotal thyroidectomy was performed in 50 cases(28.9%), and total thyroidectomy in
47
cases927.2%), lobectomy in 36 cases920.8%), lobectomy with isthmectomy in 31 cases927.9%), and biopsy only in 9 cases(5.2%). 122 patients(71%) had a solitary nodule, and the bil;aterality was seen in 21 patients (12%). The histopathologic
classification
of the 182 cases revealed papillary cancer in 148 cases (81.3%), follicular cancer in 27 cases(14.8%), anaplatic cancer in 4 cases(2.2%), medullary cancer in 2 cases(1.1%), and squamous cell cancer in 1 cases(0.5%). Regional node and distant
metastases
were seen in 23% and 12%, respectively. A pathological staging according to the A.J.C.C classification revealed as follows. Stage I, 126 cases(76.8%), stage II, 27 cases(16.5%); stage III, 4 cases (24%); and stage IV, 7 cases(4.3%). The
postoperative
complications were developed in 34% of the 173 patients. The common complications were hypoparathyroidism(19.1%) and recurrent laryngeal nerve paralysis(10.9%). One patient died with a sudden cardiac arrect during the operation.
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