摘要
目的探讨超声引导下热消融技术治疗原发性甲状腺癌存在的问题。方法回顾性分析2015年10-11月复旦大学附属肿瘤医院头颈外科收治的2例超声引导下经皮热消融技术治疗的原发性甲状腺癌病例资料。结果甲状腺乳头状微小癌和甲状腺髓样癌各1例,分别经过射频消融和微波消融治疗后行手术治疗,术后病理学检查结果均证实癌灶残留并伴有颈部淋巴结转移。结论热消融技术治疗原发性甲状腺肿瘤发生癌灶残留和淋巴结转移灶遗留风险较高,尚不能作为初治可手术原发性甲状腺癌的常规治疗手段。
Objectives To investigate the effectiveness of ultrasound-guided thermal ablation in treatment of primary thyroid cancer. Methods We retrospectively analyzed two cases with suspicious thyroid cancer by ultrasound-guided fine needle aspiration biopsy who accepted surgery after undergoing thermal ablation at Fudan University Shanghai Cancer Center in October and November 2015, and performed a pooled analysis on the two cases and the other similar cases selected from the previous studies. Results The primary tumors of the two cases after treatment of thermal ablation were confirmed to be remnant by surgery, and respectively PTC and MTC by histological pathology. Conclusion Our findings suggest that there is not enough evidence for the effectiveness of the thermal ablation procedure in treatment of primary thyroid cancer.
出处
《中国实用外科杂志》
CSCD
北大核心
2016年第8期875-879,共5页
Chinese Journal of Practical Surgery
关键词
热消融
甲状腺癌
肿瘤残留
thermal ablation
thyroid cancer
tumor residue
