摘要
对３８例甲状腺髓样癌的外科治疗及预后因素作初步分析。在手术方式的比较中，一侧腺叶和峡部切除与近全叶切除两种术式比较；功能性颈清术与根治性颈清术比较，两组术后复发率差异均无显著性。本组５年和１０年生存率分别为７８．９％（１５／１９）和６２．５％（５／８）。影响预后的主要因素是原发癌侵犯程度及患者年龄。腺内型及４０岁以下者预后较好。
Thirty-eight cases of medullary thyroid careinoma are reported in this paper with the preliminary analysis of the surgical treatment and prognostic factors of the disease.From the comparison between the different modalities of surgery it was found that there was no significant difference between the two groups in the post-operatiye recurrent rates the group undergoing lobectomy plus isthmus resection and subtotal thyroidectomy and the group of functional neck dissection and radical neck dissection. The 5-year and the 10-year survival rates were 78.9%(15/190) and 62.5%(5/8),respectively.Chief factors that could influence prognosis included the degree of invasion by the primary cancer and patients'age.Patients with intraglandular-type and under 40 in age had a better prognosis.
出处
《河南肿瘤学杂志》
1996年第2期124-126,共3页
Henan Journal of Oncology
关键词
甲状腺髓样癌
预后
外科手术
thyroid carcinoma,medullary,operation,prognosis
