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我院1979～1987年共收治甲状腺癌45例,均经手术和病理证实,就其中诊断和误诊情况,手术方法和双侧甲状腺全切除有关问题提出讨论。临床资料本组45例中男性14例,女性31例。年龄最大67岁,最小19岁,平均年龄34岁。发病时间最长20年,最短5天,平均发病2年。病理类型:乳头状腺癌31例(包括混合型3例),滤泡型腺癌7例,髓样癌3例,未分化癌3例,鳞状细胞癌1例。45例中肿瘤侵出包膜及颈淋巴结转移19例,占42％。术式:传统式颈淋巴结清除术9例,功能性颈淋巴结消除31例,其中双侧甲状腺全切3例,1例出现严重甲状旁腺功能低下,经治疗3个月痊愈。侧叶加
In our hospital from 1979 to 1987, a total of 45 cases of thyroid cancer were treated and confirmed by surgery and pathology. The diagnosis and misdiagnosis, surgical methods and bilateral total thyroidectomy were discussed. Clinical data: There were 45 males and 31 females in this group. The oldest is 67 years old, the youngest is 19 years old, and the average age is 34 years old. The onset time is up to 20 years, the shortest 5 days, and the average onset is 2 years. Pathological types: 31 cases of papillary adenocarcinoma (including 3 cases of mixed type), 7 cases of follicular adenocarcinoma, 3 cases of medullary carcinoma, 3 cases of undifferentiated carcinoma, 1 case of squamous cell carcinoma. Forty-five out of 45 patients had tumor invading capsules and cervical lymph node metastases, accounting for 42%. Surgical formula: Conventional cervical lymph node dissection in 9 cases, functional cervical lymph node dissection in 31 cases, including bilateral thyroidectomy in 3 cases, 1 case of severe hypoparathyroidism, cured after 3 months of treatment. Lateral leaf plus