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目的探讨原发性甲状腺鳞状细胞癌的诊断和治疗。方法回顾性分析我院收治的1例原发性甲状腺鳞状细胞癌典型病例,并结合相关文献复习,探讨其诊断和治疗。结果该例肿瘤侵及甲状软骨、环状软骨和喉,行甲状腺癌联合喉扩大切除术。术后发生甲状旁腺功能低下和手足抽搐,术后第15天出院。随访1年健康生存,未见复发和远处转移。结论原发性甲状腺鳞状细胞癌罕见,早期诊断困难,恶性程度高,积极手术是首选的治疗方法。放射治疗可延缓肿瘤的生长、转移。
Objective To investigate the diagnosis and treatment of primary thyroid squamous cell carcinoma. Methods Retrospective analysis of a typical case of primary thyroid squamous cell carcinoma admitted to our hospital, combined with relevant literature review to explore its diagnosis and treatment. Results The tumor invaded the thyroid cartilage, cricoid cartilage and larynx with thyroidectomy and laryngectomy. Postoperative hypoparathyroidism and limbs convulsions, 15 days after discharge. Follow-up 1 year healthy survival, no recurrence and distant metastasis. Conclusions Primary thyroid squamous cell carcinoma is rare, early diagnosis is difficult, and the malignant degree is high. Positive surgery is the first choice of treatment. Radiation therapy can delay tumor growth and metastasis.