摘要
目的探讨甲状腺癌行全甲状腺切除术的诊疗经验。方法回顾性分析83例甲状腺癌行全甲状腺切除术的临床资料及病理特点并进行1-5年随访观察。结果 83例中67例为首次手术,16例为二次手术;48例术后行131I内照射治疗;83例均术后服用甲状腺激素。随访75例中有2例死于转移癌。结论术前评估对制定甲状腺癌的治疗方案有重要意义,全甲状腺切除术辅以术后甲状腺激素抑制治疗,并适当予以放射性碘治疗,是兼顾患者预后和生活质量治疗甲状腺癌的合理选择。
Objective To discuss the diagnosis and treatment of thyroid cancer with total thyroidectomy. Methods The clinical data of 83 cases of thyroid carcinoma treated with total thyroidectomy were analyzed retrospectively. The follow- up lasted for 1 - 5 years. Results Sixty-seven cases had primary operation and 16 had secondary operation. Forty-eight cases were given 131 Iodine therapy after surgery. Thyroxin was administrated to all patients. Seventy-five cases were followed up and 2 died of recurrence. Conclusion It is important to have preoperative evaluation for making treatment plan. Total thyroidectomy with appropriate ~3~ Iodine ablation, and thyroxin inhibitory therapy for patients with thyroid cancer can be beneficial to life quality without compromising survival.
出处
《实用肿瘤杂志》
CAS
2014年第1期69-72,共4页
Journal of Practical Oncology
