摘要
目的探讨甲状旁腺癌的诊断和治疗方法，总结甲状旁腺癌的手术治疗经验。方法回顾分析11例甲状旁腺癌患者的临床资料，包括临床症状、体征、实验室检查和影像学结果。结果11例均完整切除肿瘤或复发转移灶，10例术后出现短期低钙血症，均经补钙后症状缓解。随访1～10年，手术后5年存活率81．82％。存活6例，其中2例分别于术后1、3年复发，再次术后无复发；4例患者健康存活，存活1年以上1例，存活3年以上1例，存活7年1例，存活10年1例。结论手术切除肿瘤以及同侧甲状腺是一种良好的根治方法，复发肿瘤或转移灶的切除仍然是一种十分有益的治疗方法。
Objective To investigate the method for diagnosis and treatment of parathyroid cardno- ma,and to summarize the treating experience.Methods The clinical data of 11 patients with parathyroid cardnoma from 1992 to 2006 were retrospectivdy analyzed,including the clinical symptoms and signs,laboratory results and imaging results. Results Ten patients had short period hypocalcemia and were relived after supplementation of calcium. Eleven operated patients were followed - up for 1 - 10 years. Five - year survival rate was 81.82 %. A- mong 6 survivors,2 cases received second operation and 4 cases healthily survived for over 1 year,over 3 years,7 years and 10 years respectivdy. Conclusion The operative removal of parathyroid carcinoma with thyroid at the same side is a better radical treatment. It is still helpful to remove metastastic or recurrent tumor for the recurrence patients.
出处
《临床外科杂志》
2007年第3期165-166,共2页
Journal of Clinical Surgery
关键词
甲状旁腺癌
诊断
治疗
parathyroid carcinoma
diagnosis
treatment
