论文部分内容阅读
我院外科1960～1982年共收治甲状腺癌接受再次手术者85例。现结合随访结果对再次手术的有关问题和术式选择进行讨论。临床资料与随访结果一、一般资料:全组85例,大部分是因初次手术不当转来本院追加手术和在外院手术后复发者。男24例,女61例。年龄15～66岁。其中甲状腺乳头状癌52例,乳头状癌与滤泡癌混合型7例,滤泡癌23例,髓样癌3例。全部病例经过5～25年随访,再次手术后5年生存率87％(74/85),10年生存率84％(37/44)。20年生存率71.4％(5/7)。二、甲状腺癌初次手术不当而追加手术者49例。初次手术包括甲状腺肿瘤局部摘除32例,甲状腺次全切除6例,一侧腺叶切除11例。病理类型:乳头状癌38
In our hospital, from 1960 to 1982, 85 cases of thyroid cancer received reoperation. Combined with the follow-up results, we discussed the issues related to reoperation and the choice of procedure. Clinical data and follow-up results First, general information: The entire group of 85 cases, most of them due to improper transfer of surgery from the hospital and relapse after surgery in the outer hospital. There were 24 males and 61 females. Age 15-66 years old. There were 52 cases of thyroid papillary carcinoma, 7 cases of mixed papillary carcinoma and follicular carcinoma, 23 cases of follicular carcinoma and 3 cases of medullary carcinoma. All cases were followed up for 5 to 25 years. The 5-year survival rate after reoperation was 87% (74/85) and the 10-year survival rate was 84% (37/44). The 20-year survival rate was 71.4% (5/7). Second, there were 49 cases of additional surgery for thyroid cancer. The first operation included local thyroid tumor removal in 32 cases, subtotal thyroidectomy in 6 cases, and lateral lobectomy in 11 cases. Pathological type: papillary carcinoma 38