摘要
目的探讨青少年甲状腺乳头状癌双颈转移患者的临床特点、治疗方法及预后。方法回顾性分析1970年1月1日至1985年12月31日收治的24例青少年甲状腺乳头状癌双颈淋巴结转移患者的临床资料。结果该组青少年患者占该科同期收治同年龄段甲状腺乳头状癌患者的34.8%(24/69),随访时间均在20年以上,10年和20年生存率分别为100%和90.9%。局部肿瘤复发率20.8%(5/24),肺转移率12.5%(3/24)。结论青少年甲状腺乳头状癌双颈淋巴结转移患者尽管有较高的复发率,但在根治性手术治疗的基础上,预后很好。
Objective To investigate the clinical features, treatment and prognosis of the young adult papillary thyroid cancer with bilateral cervical lymph nodes metastases. Methods Twenty-four papillary thyroid cancer patients （mean age 16.6 year-old,range 11 to 20 year-old） with bilateral cervical metastases from January 1 1970 to December 31 1985 were analyzed. Results The proportion of the patients in the contemporary patients of the corresponding period was 34. 8% （24/69）. All the patients in the group were followed up at least 20 years. The survival rates of the patients at 10 years and 20 years were 100% and 90. 9%. The recurrence rates of local tumor and distant tumor（lung metastases） were 20. 8% （5/24） and 12. 5% （3/24）. Conclusion After a radical surgery, the recurrence rate of young adult thyroid papillary cancer patients with bilateral cervical metastases is relatively high and the patients have well prognosis.
出处
《中华外科杂志》
CAS
CSCD
北大核心
2007年第7期467-469,共3页
Chinese Journal of Surgery
基金
上海自然基金(03ZR14019)
上海登山计划资助项目(06JC14016)
关键词
青少年
甲状腺肿瘤
囊腺癌
乳头状
肿瘤转移
预后
Adolescence
Thyroid neoplasms
Cystadenocarcinoma, papillary
Neoplasm metastasis
Prognosis
