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不同病理类型的甲状腺癌,其发展过程、转移途径相差很大,其治疗也各不相同。甲状腺癌中最常见的为乳头状癌,滤泡状癌及上述两种病理类型的混合型癌,约占甲状腺癌的80%。属分化良好、低度恶性的肿瘤,生长缓慢,手术治疗效果好,术后存活期长。据文献统计,其10年生存率可达49~91.2%。Mayin对240例隐匿型乳头状癌(小于1.5cm),术后随访10年无死亡,癌灶超出包膜者的术后11年死亡率也只有38%。Buckwater统计555例分化良好的甲状腺癌术后10年生存率为70%,发病年龄越小预后越好。区深明等分析分化良好的甲状腺癌,术后5年生存率在64~91%之间。也发现年龄在40岁以下组病人预后明显优于40岁以上年龄
Different pathological types of thyroid cancer, the development process, the transfer pathway is very different, and their treatment is also different. The most common form of thyroid cancer is papillary carcinoma, follicular carcinoma, and mixed types of these two pathological types, accounting for about 80% of thyroid cancer. It is a well-differentiated, low-grade tumor with slow growth, good surgical treatment, and long postoperative survival. According to literature statistics, its 10-year survival rate can reach 49-91.2%. Mayin had 240 cases of occult papillary carcinoma (less than 1.5cm), and there was no death after 10 years of follow-up. The 11-year mortality rate after the tumor surpassed the envelope was only 38%. According to Buckwater’s statistics, the 10-year survival rate of 555 well-differentiated thyroid cancer patients was 70%. The smaller the age of onset, the better the prognosis. In the analysis of well-differentiated thyroid cancer, Dr. Chuan Ming Ming et al. Postoperative 5-year survival rate was between 64 and 91%. Also found that the age of patients under the age of 40 is significantly better than the age of 40