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我科1961～1983年共收治甲状腺癌129例,其中9例入院后检查发现有其他部位转移,余120例均行手术治疗,并经病理证实诊断。86例获得了随访,随访率为71.67%。现根据本组资料,结合文献,对甲状腺癌的诊断、治疗及预后等一些有关问题进行讨论。临床资料本组120例病人中,男性40例,女性80例,男女之比为1:2。年龄最大69岁,最小13岁,其中30～60岁85例,占70.83%。本组病例表现以呼吸困难(39例)、声音嘶哑(22例)、甲状腺局部疼痛(22例)及甲亢表现(20例)为主,其次为吞咽困难(11例)、放射性疼痛(10例)、呛咳(4例)、霍纳氏综合征(1例)。有相当一部分病人来院时尚无明显临床症状,以颈部包块就诊。甲状腺局部检查:38例为单纯右叶肿大,25例左叶肿大,35例双叶肿大,肿块居于
In our department, 129 cases of thyroid cancer were treated from 1961 to 1983, of which 9 cases were found to have metastases at other sites after admission. The remaining 120 cases were treated by surgery and confirmed by pathology. 86 cases were followed up with a follow-up rate of 71.67%. Based on this group of data, combined with literature, some related issues such as diagnosis, treatment and prognosis of thyroid cancer are discussed. Clinical data of this group of 120 patients, 40 males and 80 females, male to female ratio of 1:2. The oldest is 69 years old and the youngest is 13 years old, among which 85 cases are 30-60 years old, accounting for 70.83%. This group of patients showed dyspnea (39 cases), hoarseness (22 cases), local thyroid pain (22 cases) and hyperthyroidism (20 cases), followed by dysphagia (11 cases), radioactive pain (10 cases ), Cough (4 cases), Horner’s syndrome (1 case). A considerable number of patients came to the hospital without obvious clinical symptoms and treated with neck masses. Local thyroid gland examination: 38 cases of simple right lobe enlargement, 25 cases of left lobe enlargement, 35 cases of bifocal enlargement, mass occupying