摘要
本文报道了华山医院外科自1970年以来17年经手术治疗的甲状腺癌194例的临床及随访资料,计乳头状癌121例(62.4％),混合型癌18例(9.3％),滤泡型癌28例(14.4％),髓样癌12例(6.2％),未分化癌8例(4.1％),其他7例(3.5％)。手术方式以一侧甲状腺腺叶切除加颈淋巴结清扫居多,共122例。174例(89.7％)得到随访,随访期1～18年,平均7.22年。随访期内有10例死亡,其中9例死于甲状腺癌(未分化癌5例,髓样癌3例,滤泡型癌1例),有7例甲状腺癌局部复发,乳头状癌占6例。作者认为:甲状腺癌的组织学类型对预后关系最为重要。手术治疗方案主要应根据甲状腺癌的病理类型而定。
In 1970—1987, 194 cases of thyroid carcinoma bad been operated on. There were 121 cases of papillary adenocarcinoma (62.4%), 28 follicular carcinoma (14.4%), 12 medullary carcinoma (6.2%), 8 undifferentiated carcinoma (4.1%) and other 7 cases (3.5%). Labectomy and neck dissection were performed in 122 cases. One hundred seventy-four cases(89.7%) were followed for 1—18 years, average 7.22 years. Patients died, nine of them died of thyroid carcinoma. Local recurrence happened in 7 cases among which 6 were papillary carcinoma.
Among the prognostic factors including age, lymphnode metastasis, local involvement of tumor, size of lesion and pathological type, the latter had the greatest influence on the prognosis of these patients. Well differentiated carcinomas had good prognosis and undifferentiated carcinoma had worst prognosis.
出处
《上海医学》
CAS
CSCD
北大核心
1990年第12期695-697,共3页
Shanghai Medical Journal
