摘要
目的分析儿童甲状腺癌的临床特点、诊断和手术治疗方法。方法选取本院诊治的甲状腺癌患儿16例,所有患儿行手术治疗,术后辅以内分泌治疗,并定期随访。分析患儿临床表现、病理结果、治疗效果以及术后并发症情况。结果 16例甲状腺癌患儿中,14例以颈部肿物就诊,10例体检发现颈部淋巴结肿大,未发现特异性临床症状;病理结果显示乳头状癌13例,其他类型3例;术后2例并发声带麻痹,2例甲状旁腺功能减退;术后4例患儿出现肿瘤复发,2例死亡;术后5年的生存率为87.5%(14/16),生长发育良好。结论儿童甲状腺癌以颈部肿物为主要临床表现,手术是治疗儿童甲状腺癌有效的方法,预后较好。
Objective To analyze clinical characteristics, diagnosis and surgical treatment of thyroid cancer in children. Methods Sixteen cases of children with thyroid cancer in our hospital were selected. All of them was given the surgery, and endocrine therapy was given after operation, regular follow-up was given. Clinical manifestations, pathological results, treatment effect, the postoperative complications of children were analyzed. Results Among the sixteen children with thy- roid cancer, fourteen cases were found with cervical mass, ten cases were found with enlargement of lymph nodes, specific clinical symptoms were not found; pathology results showed that thirteen cases were papillary carcinoma and three cases were other types; after surgical treatment, two cases were found with paralysis of vocal cord, and two cases were found with hypoparathyroidism; after surgical treatment, four cases were found with tumor recurrence and two eases died; the survival rate was 87.5%（14/16） in five years after operation. The growth was good. Condusion The primary clinical feature of thy- roid cancer in children is cervical mass, surgical treatment is the effective method for thyroid cancer in children and the prognosis is good.
出处
《中国当代医药》
2012年第22期188-189,共2页
China Modern Medicine
关键词
儿童
甲状腺癌
临床表现
手术治疗
Children
Thyroid cancer
Clinical characteristics
Surgical treatment
