【摘要】 目的探讨甲状腺癌的外科手术治疗的方式和效果。方法回顾性分析1 9 9 0—2 0 0 5年间上海市第八人民医院和江苏大学附属医院收治的1 2 6例甲状腺癌患者的临床资料。结果1 2 6例甲状腺癌中,乳头状腺癌9 4例(7 4.6%),其中有2例为桥本氏病合并甲瘤和甲状腺乳头状腺癌,1例还合并有甲亢,滤泡状腺癌2 0例(1 5.9%),髓样癌5例(4.0%),未分化癌4例(3.2%),恶性淋巴瘤2例(1.6%),鳞状细胞癌1例。1 2 6例中肿瘤直径小于1 cm的甲状腺微小癌(TMC)5 6例,均为乳头状腺癌。术后随访5年以上7 8例,1~5年3 6例,生活质量均为良好。未分化癌4例均于术后3~6个月死亡,2例髓样癌和1例鳞状细胞癌术后1年均因肺转移死于咯血。结论早期诊断和治疗、规范手术切除范围可避免因漏诊再次手术,术后应早期尽量替代治疗。更多还原

【Abstract】 Objective To summarize the methods and outcome of surgical treatment of thyriod carcinoma(TC).Methods The clinical data of 126 cases of TC admitted between 1990 to 2005 to our 2 hospitals was analyzed.Results Among the 126 cases,there were papillary carcinoma in 94 cases(74.5%),follicular carcinoma in 20 cases(15.9%),medullary carcinoma in 5 cases(4%),anaplastic carcinoma in 4 cases(3.2%),lymphoma in 2 cases(1.6%) and squamous cell carcinoma was in 1 case(0.8%).Thyroid microcarcinoma(TMC) was found in 56 of 126 cases and all of them were papillary carcinoma.(Seventy)-eight cases were followed up for more than 5 years after operation and 36 cases for 3 to 5 years,and all have good quality of life.All of the 4 cases with anaplastic carcinoma died in 3 to 6 months.Two cases with medullary carcinoma and 1 case with squamous cell carcinoma died from pulmonary metastases 1 year after operation.Conclusions For differentiated TC,surgical treatment is the ideal treatment.However,for(anaplastic) TC,operation is not to be recommended,the choice of treatment is radiotherapy.更多还原