摘要
甲状腺癌是常见疾病,中青年女性发病率较高,其中90%是分化型甲状腺癌。分化型甲状腺癌诊治方面存在很多争议,如分化型甲状腺癌的术前诊断、原发癌灶的切除范围、是否行淋巴结清扫及清扫的范围、手术后放射碘治疗的适应证及所需131I的剂量,术后何时开始内分泌治疗及服用剂量。目前我国在甲状腺癌诊治方面尚无统一规范化的指南,各地区诊治水平参差不齐。在此就近年来相关文献予以综述。
Thyroid cancer is a common disease.Young and middle-aged women have a higher incidence of this disease.Differentiated thyroid cancer accounts for 90 percent of thyroid cancers.There are many disputes on the diagnosis and treatment of differentiated thyroid cancer,such as the preoperative diagnosis of differentiated thyroid carcinoma,resection extent for primary carcinoma,necessity and range of lymph node dissection,indications of postoperative iodine radiotherapy,dose of 131I,timing to initiate postoperative endocrine therapy,and the dose of oral thyroxine preparation.At present,there is no uniform and standardized guidelines on the diagnosis and treatment of thyroid carcinoma in China.The levels of diagnosis and treatment differ widely among every region.Therefore,this paper reviews the pertinent literatures in recent years.
出处
《医学综述》
2011年第2期218-221,共4页
Medical Recapitulate
关键词
甲状腺癌
分化型甲状腺癌
诊断
治疗
Thyroid carcinoma
Differentiated thyroid cancer
Diagnose
Therapy
