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分化型甲状腺癌伴双颈淋巴结转移手术方式的探讨 被引量:15

SURGICAL MANAGEMENT FOR WELL-DIFFERENTIATED THYROID CARCINOMA WITH BILATERAL CERVICAL LYMPH NODES INVOLVED
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摘要 对我院1956年~1990年间外科治疗的分化型甲状腺癌伴双颈淋巴结转移的170例进行了分析,发现77例对侧甲状腺内术前未扪及肿块,其中6例术后病理诊断为隐癌,假阴性率为78%。作者建议:位于一叶的分化型甲状腺癌的双颈淋巴结转移的病例,可以保留对侧腺叶。这种处理方式可减低全甲状腺切除引起的并发症。 A group of 170 cases of well-differentiated thyroid carcinoma with bilateral cervicallymph nodes involved was reviewed. These cases were surgically treated at this hospital be-tween 1956 and 1990. In 77 cases who had no nodules found clinically in the opposite thyroidlobe, there were 6 occult carcinomas confirmed pathologically after operation. The false neg-ative rate was only 7. 8% (6/77). The authors suggest that the opposite thyroid lobe may notbe removed if clinically negative,and thus may reduce the complications caused by total thy-roidectomy.
出处 《肿瘤》 CAS CSCD 北大核心 1996年第3期403-405,共3页 Tumor
关键词 分化型 甲状腺肿瘤 并发症 甲状腺切除术 Well-differentiated thyroid carcinoma Complications Thyroidectomy
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