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我院自1963～1982年共收治甲状腺癌132例,相当于同时期甲状腺疾病的1.8%。从治疗效果来看,除甲状腺局部切除外,只要将癌组织切除彻底,不论手术方法若何,其手术生存率差异不大,但若在手术后较长期的服用甲状腺素,则疗效更佳。未分化癌以放射治疗为宜。本组病例经随访观察,乳头状癌的10年生存率为81.8%,20年生存率为34.5%;滤泡状癌的10年生存率为58.1%,20年生存率为22.6%。
Our hospital has treated thyroid cancer in 132 cases from 1963 to 1982, equivalent to 1.8% of thyroid disease in the same period. From the point of view of therapeutic effect, except for partial excision of the thyroid gland, as long as the cancer tissue is completely removed, regardless of the surgical method, the survival rate of the surgery is not significantly different. However, if the thyroxine is taken longer after the operation, the curative effect is better. Radiotherapy is appropriate for undifferentiated cancer. In this group of patients, the 10-year survival rate of papillary carcinoma was 81.8%, and the 20-year survival rate was 34.5%. The 10-year survival rate of follicular carcinoma was 58.1%, and the 20-year survival rate was 22.6%.