摘要
作者总结了我院近18年来(1968～1986),经手术治疗的95例分化型甲状腺癌伴颈淋巴转移,其中82例(86.3％)获得随访。结果表明,患者预后与发病年龄、病理类型、病变程度及手术方式有关。入院前有48例误诊为腺癌,仅作了甲状腺肿块切除,入院后再行切除患侧残留甲状腺,经病理检查证实30例(62.5％)仍有癌肿残留。
This paper reports the results and ex-periences of 95 cases with differentiatedthyroid carcinoma managed by surgical treat-ment. Eighty-two patients were followed upwith an average time of 6.2 years, the long-est was fifteen years and six months, 96%of patients were survival over 5 years. The factors influencing prognosis are asfollows: 1.Age:Elder predicts worse prognosis. 2.Histology :Papillary is better thenfollicular. 3. The stage of thyroid carcinoma:Biggermass, tumor cells spreading out of thyroidcapsule with invasion of adjacent tissues andregional lymph nodes, and intravasculartumor cell embolus almost always showshigher recurrence and mortality. 4.Simple tumor removal before admissiongives no reasonable cure, but increasingrisk of spreading as showed in our cases. Therefore, we emphasize that thyroidcarcinoma should be treated primarily withradical operation. By our experience thyroidcarcinoma should be treated with lobectomyfor affected site, excision of isthmus, andcontralateral subtotal thyroidectomy. Becauseof the low grade malignancy in differentiatedthyroid carcinoma, modified neck dissectionis the surgical procedure of choice. Patientsundergoing such surgical procedure as statedabove can be prevented from sequelae.
出处
《华西医科大学学报》
CAS
CSCD
1989年第1期112-114,共3页
Journal of West China University of Medical Sciences
关键词
癌
甲状腺
切除
颈淋巴
Differentiated thyroid carcinoma
Factors influencing survival Thyroidectomy
Modified radical neck dissection
