论文部分内容阅读
我科1975~1990年共收治20岁以下甲状腺乳头状癌32例,其中4例包膜内型轧头状癌行患侧腺叶加峡部切除.5年、10年均无瘤生存;25例行腺叶加功能性颈清扫,5年生存率96%,10年生存率92%;3例行腺叶加双侧颈淋巴结功能性清扫,正例失访,2例5年无瘤生存。认为,幼年性甲状腺结节应高度警惕,对已出现双侧颈淋巴结转移.甚至远处转移的幼年甲状腺癌。亦应积极采取外科治疗,同时辅助同位素及内分泌治疗,能得到较满意的治疗效果。
In our department from 1975 to 1990, a total of 32 cases of thyroid papillary carcinoma under 20 years of age were treated. Among them, 4 cases of intracapsular type peduncular carcinoma underwent ipsilateral gonadectomy and isthmus resection. 5 years and 10 years were tumor-free survival; 25 cases of glandular and functional neck dissection, 5-year survival rate of 96%, 10-year survival rate of 92%; 3 cases of glandular leaves plus bilateral cervical lymph node functional dissection, positive Cases were lost to follow-up and 2 cases survived for 5 years without tumor. It is believed that juvenile thyroid nodules should be highly vigilant and that bilateral cervical lymph node metastasis has occurred. Even distant metastases of thyroid cancer. Should also take active surgical treatment, while assisting isotope and endocrine therapy, can get more satisfactory therapeutic effect.