论文部分内容阅读
患者男,50岁。1963年3月无意中发现右颈部淋巴结肿大。同年8月,右颈部又生一肿块,质硬,经131碘扫描,甲状右叶呈缺损图象,病理活检提示颈淋巴结转移癌,诊为甲状腺髓样癌。由于病人拒绝手术,予以环磷酰胺、氟脲嘧啶、争光霉素交替治疗3年,肿块未见明显增长。以后发生的骨髓抑制,用中草药治疗长达17年之久。至今已生存20年,病情稳定,仍能工作。
Male patient, 50 years old. March 1963 inadvertently found lymph nodes in the right neck. In the same year in August of the same year, a mass was hardened in the right neck. After 131 Iodine scan, the right thyroid lobe showed a defect image. Pathological biopsy revealed metastatic carcinoma of the cervical lymph node and was diagnosed as a medullary thyroid carcinoma. Due to the patient’s refusal of surgery, cyclophosphamide, fluorouracil, and zeocin were alternately treated for 3 years and there was no significant increase in the mass. The bone marrow suppression that occurred afterwards was treated with Chinese herbs for up to 17 years. He has survived for 20 years and his condition is stable and he can still work.