摘要
目的 探讨甲状腺髓样癌 (Medullary thyroid carcinoma;MTC)的诊断要点及治疗原则。方法 对我们1989～ 2 0 0 0年收治的 8例 MTC的临床资料进行回顾性分析。结果 患者均以颈部肿块就诊 ,1例伴有腹泻。散发型MTC7例 ,家族型 MTC1例。治疗方法均以手术切除原发灶或合并颈淋巴结清除为主。术后随访 3例死亡 ,5例存活。结论 MTC术前诊断困难 ,但有下列情况应考虑本病 :不论甲状腺是否触及肿块 ,但有淋巴结肿大伴有顽固性非炎性腹泻者 ;有家族史 ;血清降钙素明显高于正常者。对 MTC均应做原发灶根治性切除加同侧颈部淋巴清扫术。
Objective To probe into the key diagnostic points and the therapeutical principles of medullary hyroid carcinoma(MTC).Methods 8 cases of MTC admitted between 1989 and 2000 were retrospectively analyzed.Results All 8 patients were admitted with the cervical masses as their main complaints,of which there was one patient with an incidental diarrhea.There were 7 cases of sporadic type and 1 familial type. Primary tumor resection combined with cervical lymph node clean-up was performed.3 cases died and 5 survived after postoperative follow-ups.Conclusion MTC is difficult to diagnose before operation, but the following information can help to diagonse:① swelling of cervical lymph node accompanied by refractory but noninflammatory diarrhea, no matter whether the mass of thyroid could be palpated or not;②family history;③remarkably higher level serum calcitonin.We suggested that primary tumor resection plus cervical lymphadenectomy of the same lateral should be done to patients with MTC.
出处
《中国误诊学杂志》
CAS
2002年第1期53-54,共2页
Chinese Journal of Misdiagnostics
关键词
甲状腺肿瘤
髓样癌
诊断
MTC
临床分型
Thyroid neoplasms/diagnosis
Carcinoma,medullary/diagnosis
Retrospective studies
