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我院自1980年至1992年手术治疗甲状腺癌33例,均经病理证实。占同期665例甲状腺手术的4.96％。回顾诊断及治疗过程,体会如下。 1 临床资料 本组33例,男13例,女20例,男:女=1:1.5。年龄:21～68岁,平均年龄36岁;其中30岁以下9人,31～60岁21人,61岁以上3人。甲状腺癌单发30例(90.9％)}左侧13例,右侧17例,双侧3例。就诊时间:最短1周,最长20余年;病程大于1年者占45.4％(15/33),全部病人均以颈部肿块为主诉就诊。临床检查肿块质硬39％(13/33);颈部淋巴结肿大39％(13/33);气管受压30％(10/33);喉返神受侵15％(5/33);颌下腺转移1例,胸骨转移j例。临床初诊:术前诊断为甲状腺腺瘤者18例,甲状腺癌可能者7例;颈淋巴结肿大待查者3例,病理已证实为甲状腺癌者5例。 手术方法:①术前或术中诊断明确者行一次性
In our hospital from 1980 to 1992, 33 cases of thyroid cancer were treated by pathology. Accounted for 4.96% of 665 cases of thyroid surgery in the same period. Review the diagnosis and treatment process and experience as follows. 1 Clinical data The group of 33 patients, 13 males and 20 females, male: female = 1:1.5. Age: 21-68 years old, average age 36 years old; among them, 9 people under 30 years old, 21 people 31-60 years old, 3 people over 61 years old. Thirty cases (90.9%) of thyroid cancer were solitary: 13 cases on the left, 17 cases on the right, and 3 cases on both sides. Treatment time: The shortest one week, the longest more than 20 years; duration of more than 1 year accounted for 45.4% (15/33), all patients were treated as the chief complaint of neck mass. The clinical mass of the tumor was 39% (13/33); the lymph node enlargement in the neck was 39% (13/33); the tracheal pressure was 30% (10/33); and the laryngeal recurrence was 15% (5/33). Submandibular gland metastasis in 1 case, sternal metastasis in j cases. Clinical diagnosis: Preoperative diagnosis of thyroid adenoma in 18 cases, thyroid cancer may be in 7 cases; cervical lymph nodes to be investigated in 3 cases, pathology has confirmed thyroid cancer in 5 cases. Surgical methods: 1 preoperative or intraoperative diagnosis of a clear line of one-time