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目的探讨甲状腺乳头状癌(PTC)的诊断要点、手术方式及预后转归。方法对2005-2008年收治的85例甲状腺乳头状癌患者的临床资料进行回顾性分析。结果 66例行患侧及峡部全切,对侧次全切除;14例行患侧次全切除;4例行全甲状腺切除;1例行肿瘤局部切除。结论 PTC的治疗应以患侧及峡部全切、对侧次全切除为主,全甲状腺切除仅适用于双叶癌、多灶癌及有远处转移术后需行放射性碘治疗的患者。
Objective To investigate the diagnosis, prognosis and prognosis of papillary thyroid carcinoma (PTC). Methods The clinical data of 85 patients with papillary thyroid carcinoma admitted in 2005-2008 were analyzed retrospectively. Results Sixty-six cases underwent total ileus and isthmus resection, subtotal subtotal resection, 14 cases underwent subtotal subtotal resection, 4 cases underwent total thyroidectomy, and 1 case underwent local excision. Conclusion The treatment of PTC should be ipsilateral and isthmic resection, subtotal subtotal resection, total thyroidectomy is only applicable to the double-leaf cancer, multifocal cancer and patients with distant metastases need to be treated with radioactive iodine.