论文部分内容阅读
目的探讨青年甲状腺癌的临床特点和诊断及治疗原则,提高对该病诊断和治疗的认识,为临床合理治疗提供参考。方法选取2012年7月~2017年3月我院乳腺头颈肿外科及普外科收治的甲状腺癌患者的临床资料40例进行回顾性分析。结果所有患者均受手术治疗,其中31例患者行甲状腺患侧腺叶+峡部切除术,7例患者行患侧腺叶加峡部+对侧大部切除,甲状腺全切除加双侧颈淋巴结清扫2例,随访时间3月~3年,平均随访时间1.3年,2年生存率100%。结论青少年甲状腺癌颈部肿块临床表现大多数无特异性,难以与其他颈部肿块鉴别,易误诊,应引起临床高度重视,治疗手段以手术为主,关键在于手术方式的合理选择,术后辅以内分泌治疗,局部复发者或远处转移者可行131I放射治疗,预后良好。
Objective To investigate the clinical features, diagnosis and treatment of young thyroid cancer and to raise awareness of the diagnosis and treatment of the disease and provide a reference for the clinical rational treatment. Methods From July 2012 to March 2017, 40 patients with thyroid cancer underwent surgical treatment of head and neck neoplasm in our hospital and thyroid cancer patients admitted to our department of general surgery were retrospectively analyzed. Results All the patients underwent surgical treatment. Thirty-one patients underwent thyroidectomy with isthmic lobes and isthmus, and seven patients underwent lobectomy plus isthmus and contralateral maxillary resection. Total thyroidectomy plus bilateral cervical lymph node dissection Cases, follow-up time of 3 months to 3 years, an average of 1.3 years follow-up, 2-year survival rate of 100%. Conclusion Most of the clinical manifestations of cervical cancer in young patients with thyroid cancer are nonspecific, difficult to distinguish with other cervical masses and easily misdiagnosed, which should be paid more attention in clinic. The main treatment is surgery, and the key lies in the reasonable choice of operation methods and postoperative assist To endocrine therapy, local recurrence or distant metastasis feasible 131I radiation therapy, the prognosis is good.