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甲状腺癌的手术治疗效果较好,国内统计总的五年生存率为70%。如不包括未分化癌,其五年生存率可达83.2~95.6%。但临床上手术后发生广泛性转移的病例并非少见,这是因为对一些中晚期病例手术后放弃了进一步治疗的缘故。因此,对癌肿体积较大或已有颈淋巴结转移和远位转移的病例,其治疗问题需要进行探讨。本文对37例中晚期甲状腺癌(其中3例有广泛性转移),给予手术后局部放疗或用~(131)碘治疗,对其远期疗效进行了对比分析和评价。临床资料我科1968~1980年共收治中晚期甲状腺癌37例,临床要求作术后放疗的病人,全部有病
The surgical treatment of thyroid cancer is effective. The total 5-year survival rate of domestic statistics is 70%. Excluding undifferentiated cancer, its five-year survival rate can reach 83.2 to 95.6%. However, it is not uncommon for patients to have extensive metastases after surgery. This is because some mid- to late-stage patients have given up on further treatment after surgery. Therefore, the treatment of patients with large tumor size or existing cervical lymph node metastasis and distant metastasis needs to be discussed. In this article, 37 cases of advanced thyroid cancer (including 3 cases with extensive metastases) were given local radiotherapy or 131I therapy after surgery, and their long-term efficacy was compared and evaluated. Clinical data in our department from 1968 to 1980 were treated in advanced thyroid cancer in 37 cases, clinical requirements for patients with postoperative radiotherapy, all sick