摘要
目的:分析老年人甲状腺癌的临床病理特征。方法:选择新疆医科大学第五附属医院2001年至2015年间的58例老年甲状腺癌病例进行回顾性分析。结果:58例甲状腺癌中,乳头状癌75.9%(44/58)、滤泡性腺癌5.2%(3/58)、髓样癌15.5%(9/58)、未分化癌3.4%(2/58)。甲状腺癌扩大根治术复发率51.4%(18/35),甲状腺全切术+患侧颈淋巴结清扫术复发率23.8%(5/21)。两组手术之间的复发率,差异有统计学意义(P<0.05)。5年生存率67.2%(39/58)。结论:老年甲状腺癌病人预后不良,年龄越大甲状腺癌恶性度越高,甲状腺癌全切术+患侧颈淋巴结清扫术优于甲状腺癌扩大切除术。
Objective： To analyze the clinical and pathological features of thyroid carcinoma in aged patients.Methods： Data of 58 cases of senile thyroid carcinoma were retrospectively analyzed. Results： In 58 cases of thyroid carcinoma,papillary carcinoma 75. 9%（ 44 /58）,follicular carcinoma 5. 2%（ 3 /58）,medullary carcinomas 1 5. 5 %（ 9 / 58）,undifferentiated carcinoma 3. 4%（ 2 /58）. The recurrence rate of thyroid cancer radical mastectomy was51. 4%（ 18 /35）,and the recurrence rate of the total resection of thyroid cancer patients with cervical lymph node dissection was 23. 8%（ 5 /21）. The recurrence rate between the two groups was statistically significant（ P〈0. 05）. The five years survival rate was 67. 2%（ 39 /58）. Conclusion： The prognosis of elderly patients with thyroid cancer is poor,the higher the age is,the higher the degree of malignancy of thyroid cancer,the total resection of thyroid cancer patients with cervical lymph node dissection is better than that of thyroid cancer radical mastectomy.
出处
《现代肿瘤医学》
CAS
2016年第2期205-208,共4页
Journal of Modern Oncology
基金
新疆维吾尔自治区自然科学基金项目(编号:2012211A050)
关键词
老年
甲状腺癌
诊治
elderly
thyroid carcinoma
diagnosis and treatment
