甲状腺分化癌的手术方法和术后是否行放射性碘治疗,长期以来一直是有争议的问题。目前人们不再主张将肿瘤侵犯器官全部切除加局部淋巴结清扫,人们发现限制性根治术加TSH抑制疗法与甲状腺全切加放射性碘治疗的效果是相同的,而且保守性治疗能避免再次手术,减少声带麻痹,甲状旁腺功能低下等并发症。但仍然有人坚持行根治手术,他们认为:乳头状癌存在多中心灶,若不施行全切,往往遗留病灶造成日后再发,同时乳头状癌90％存在颈部淋巴结转移,所以应行淋巴结清扫。 The surgical method of thyroid differentiation cancer and whether radioactive iodine treatment is performed after surgery has long been a controversial issue. At present, people no longer advocate the removal of tumors from enucleation of organs and regional lymph node dissection. It has been found that the effect of restrictive radical surgery plus TSH suppression therapy is the same as that of total thyroidectomy and radioactive iodine treatment. Conservative treatment can avoid reoperation and reduce Vocal palsy, hypoparathyroidism and other complications. However, some people still insist on radical surgery, they believe: there are multiple central lesions of papillary carcinoma, if not completely cut, often leaving the lesion caused by recurrence, while 90% of papillary carcinoma lymph node metastasis, lymph node dissection should be performed .