【摘要】 目的　探讨儿童甲状腺癌的临床特征、诊断和治疗。方法　回顾性分析我院 1990～ 2 0 0 4年收治的15例儿童甲状腺癌的临床资料。结果　 15例均行手术治疗 ,其中乳头状癌 12例、滤泡状癌 2例、未分化癌 1例 ,颈淋巴结转移 7例。术后随访时间 9个月至 10年 ,14例存活良好 ,1例未分化癌术后 2年死于肺部转移。结论　儿童甲状腺癌多为乳头状癌 ,易发生颈淋巴结转移 ,选择适宜的术式 ,可减少并发症 ,获得良好的治疗效果。更多还原

【Abstract】 Objective To study the clinical characteristics,diagnoses and treatment results of thyroid carcinoma in children.Methods The clinical data of 15 children with thyroid carcinoma undergoing operative treatment from 1990 to 2004 were analyzed retrospectively.Results 15 children all underwent surgical treatment.Of them,12 were papillary carcinomas,2 follicular and 1 anaplastic.There were multiple lymph node metastases in 7 patients and various forms of cervical lymph node dissections were performed in these patients.After a follow-up of 9 months and 10 years 14 patients followed regularly were alive without any sign of recurrence.1 case with anaplastic died from lung metastases at 2 years after his initial surgery.Conclusions The majority of thyroid carcinoma in children were papillary and liable to transfer to cervical lymph nodes.We believed that proper initial surgical treatment was associated with better results and fewer complications.更多还原