摘要
目的总结甲状腺髓样癌（medullary thyroid carcinoma，MTC）临床特征及治疗方法。方法回顾分析1997年1月～2005年12月经治的35例MTC的临床及病理资料。结果35例均予手术切除原发灶并加行颈淋巴结清扫术，术后放疗5例，化疗7例。所有病例均经病理证实为MTC，淋巴结转移率为51．4％。32例术后随访2～10年，5年生存率为87．5％。结论MTC治疗应以根治性切除为原则，切除范围应比其他类型的甲状腺癌积极，术后可以辅以多种非手术治疗。
Objective To discuss the clinical characteristics and treatment of medullary thyroid carcinoma （MTC）. Method The clinical and pathological data of 35 cases of MTC was retrospectively analyzed. Results Total thyroideetomy and cervical lymph node dissection were performed in all the 35 cases. Radiotherapy in 5 cases and chemotherapy in 7 cases were adopted ＇after operation. The lymph node metastasis rate was 51.4%. In 32 cases who were followed up for 2 to 10 years, the 5-year survival rate was 87.5%. Conclusion Surgery is considered as the only satisfactory treatment for MTC. Dissection area should be more radical compared with other thyroid carcinoma. Nonsurgical therapies, such as radiotherapy and chemotherapy, would be adopted after the operation.
出处
《中国现代手术学杂志》
2007年第6期438-440,共3页
Chinese Journal of Modern Operative Surgery
关键词
甲状腺肿瘤
thyroid neoplasms
