摘要
本文报告1985~1994年收治的儿童甲状腺癌13例.年龄7~16岁.男3岁,女10例.所有病例无不适,而以颈部肿物就诊.除1例根治术前未做过任何治疗外,其余病例均曾进行过不恰当治疗,颈淋巴结转移10例,肺转移3例,骨转移1例.病理诊断:乳头状癌10例,滤泡癌3例.手术以患侧腺叶及峡部切除或加他侧大部分切除为佳,如有颈淋巴结转移应同时行颈部清扫术.本文对儿童甲状腺癌的特征、误诊原因及其治疗进行了讨论。
hirteen children with thyroid carcinoma weretreated from 1985 to 1994. Their ages ranged from 7 to16 years old. Male 3 and female 10. All patients didn'tfeel any discomfortable. Clinical complaints were neckmasses. The patients had been treated improperly be-fore radical operation except one case. Metastaeis tothe celvical lymph nodes lungs and bone were found in10, 3, 1 cases ies f)ectlvely on histologlcal examina-tion: 10 cases with papillary carcinoma and 3 with follicular carcinomaThe operation includes a lobectomy of the affectedside plus the isthmusecromy and the subtotal lobecto-my of the opposite The neck dissectal lobecto-sary when cervical lymph modes metastasis'is foundThe features of thyroid carcinoma in children, reasonof higher mlsdiagnose rate and the treatment are dis-'cussed.
出处
《中国实用外科杂志》
CSCD
1995年第2期88-90,共3页
Chinese Journal of Practical Surgery