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本文报告1985~1994年收治的儿童甲状腺癌13例.年龄7~16岁.男3岁,女10例.所有病例无不适,而以颈部肿物就诊.除1例根治术前未做过任何治疗外,其余病例均曾进行过不恰当治疗,颈淋巴结转移10例,肺转移3例,骨转移1例.病理诊断:乳头状癌10例,滤泡癌3例.手术以患侧腺叶及峡部切除或加他侧大部分切除为佳,如有颈淋巴结转移应同时行颈部清扫术.本文对儿童甲状腺癌的特征、误诊原因及其治疗进行了讨论。
This article reports 13 children with thyroid cancer from 1985 to 1994. Age 7 to 16 years old. Male 3 years old, female 10 cases. No discomfort in all cases, but with a neck tumor treatment. In addition to 1 case of radical surgery without any treatment, the remaining cases have been treated inappropriately, cervical lymph node metastasis in 10 cases, 3 cases of lung metastases, bone metastases in 1 case. Pathological diagnosis: 10 cases of papillary carcinoma, follicular carcinoma in 3 cases. Surgery to the ipsilateral ileum and isthmus resection or plus his side most of the resection is better, if cervical lymph node metastasis should be simultaneously neck dissection. This article discusses the characteristics of pediatric thyroid cancer, misdiagnosis and treatment.