CAJ | 학술논문

目的总结分化型甲状腺癌的诊治经验.方法回顾110例分化型甲状腺癌的临床资料.结果全组均行手术治疗辅以内分泌治疗,110例分化型甲状腺癌中,病理示乳头状癌88例(80%),滤泡状腺癌22例(20%).淋巴结转移者22例(20%).手术方式包括单侧病变行患侧腺叶加峡部及对侧大部切除59例(其中功能性颈清扫12例),息侧腺叶加峡部切除29例(其中功能性颈清扫7例);双侧病变行一侧腺叶加峡部及对侧大部分切除18例(其中功能性颈清扫5例),甲状腺全切除术加双侧颈清扫2例;1例肺转移患者行甲状腺全切及颈部淋巴结清扫术后行[3]内放射治疗.98例术后随访10年生存率91.8%.结论分化型甲状腺癌预后较佳,治疗关键是正确根据其病情选择合适的手术方式.
목적 총결분화형갑상선암적진치경험.방법 회고110례분화형갑상선암적림상자료.결과 전조균행수술치료보이내분비치료,110례분화형갑상선암중,병리시유두상암88례(80%),려포상선암22례(20%).림파결전이자22례(20%).수술방식포괄단측병변행환측선협가협부급대측대부절제59례(기중공능성경청소12례),식측선협가협부절제29례(기중공능성경청소7례);쌍측병변행일측선협가협부급대측대부분절제18례(기중공능성경청소5례),갑상선전절제술가쌍측경청소2례;1례폐전이환자행갑상선전절급경부림파결청소술후행[3]내방사치료.98례술후수방10년생존솔91.8%.결론 분화형갑상선암예후교가,치료관건시정학근거기병정선택합괄적수술방식.
Objective To summary the experience in surgical treatment of differentiated thyroid carcinoma (DTC).Methods The clinical data and follow-up results of 110 cases of DTC were retrospectively analyzed.Results 110 patients received operation and TSH suppress therapy.Histologic examination after operation revealed that papillary thyroid carcinoma(PTC) 88 cases(80%) ,follicular thyroid carcinoma 22 cases(20%) ,cervical lymph node metastasis were found in 22 cases(20%).The operation procedure consists of excision of the suffered lobe,isthmus and greater partial of the opposite lobe 59 cases(along with functional cervical dissection 12 cases) ;excision cf the sufferedlobe,isthmus 29 cases(along with functional cervical dissection 7 cases) ;excision of the suffered lobe,isthmus greater partial of the opposite lobe 18 cases(along with functional cervical dissection 5 cases) ;total thyroidectomy and bilateral cervical dissection 2 cases;total thyroidectomy and bilateral cervical dissection with postoperative 131I therapy,1 cases with metastasis to lung.98 cases 10-year survival rate was 91.8%.Conclusion Differentiated thyroid carcinoma has a good prognosis,a proper surgical procedure is the key point to get a good outcome.