论文部分内容阅读
目的探讨以癌胚抗原(CEA)升高为首发表现的甲状腺髓样癌的诊治方法。方法回顾性分析北京医院普外科2002年1月至2008年6月收治6例以CEA升高为首发表现的甲状腺髓样癌的临床资料。结果6例病人在常规体检时发现CEA升高,经过全面体检排除了CEA升高的常见疾病,发现有甲状腺结节,行甲状腺肿瘤手术治疗,病理证实为甲状腺髓样癌,术后随访至今均存活,肿瘤无复发。结论CEA升高是甲状腺髓样癌较为常见的临床表现之一,临床鉴别CEA升高疾病时应考虑到甲状腺髓样癌的可能。
Objective To investigate the diagnosis and treatment of medullary thyroid carcinoma with the appearance of carcinoembryonic antigen (CEA) as the first manifestation. Methods The clinical data of 6 cases of medullary thyroid carcinoma with CEA increased from January 2002 to June 2008 in Beijing General Hospital were retrospectively analyzed. Results Six patients were found to have elevated CEA during routine physical examinations. After the general examination, the common diseases with elevated CEA were excluded. Thyroid nodules were found. Surgical treatment of thyroid tumors was performed. The pathology was confirmed as medullary thyroid carcinoma. All patients were followed up till now Survival, tumor recurrence. Conclusion CEA is one of the more common clinical manifestations of medullary thyroid carcinoma. The clinical identification of medullary carcinoma should be considered in patients with elevated CEA.