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我院１９７３年至１９９０年收治分化型甲状腺癌２３２例，其中首诊治疗不当７６例，占收治分化型甲状腺癌病例的３３．８％．本文就７６例首诊治疗不当的原因及后果进行分析、作者认为分化型甲状腺原发癌和颈部转移癌给予放疗等非手术治疗，或行肿瘤切取活植术、或行肿瘤摘除术均为治疗不当．其原因主要为：①接诊医师对分化型甲状腺癌的临床特征认识不足，诊断为良性肿瘤引起治疗不当，本文占６５．７９％。②对分化型甲状腺原发癌及转移癌的处理原则不了解，虽诊断为甲状腺癌但仍行肿瘤摘除术，或活检术或放疗。首诊处理不当可引起如下结果：①拖延病情，使病情恶化；②病人需再次手术，增加再手术困难，再手术时喉返神经及甲状旁腺损伤等并发症增加，术后复发增多；③影响容貌、生存质量下降；④增加患者经济负担；⑤生存率下降等．
In our hospital from 1973 to 1990, 232 cases of differentiated thyroid cancer were treated. Among them, 76 cases were improperly treated in the first diagnosis, accounting for 33.8% of cases with differentiated thyroid cancer. This article analyzes the causes and consequences of inappropriate treatment in the first case of 76 cases. The author believes that non-surgical treatment such as radiotherapy and radiotherapy for differentiated primary thyroid cancer and metastatic cancer of the neck, or surgical removal of tumors, or tumor resection Improper treatment. The main reasons are as follows: (1) The physicians who attend the clinic have insufficient understanding of the clinical features of differentiated thyroid cancer. The diagnosis of benign tumors causes improper treatment. This article accounts for 65.79%. 2 The principle of treatment of primary and metastatic cancers of differentiated thyroid gland is not known. Although thyroid cancer is diagnosed, tumor removal or biopsy or radiotherapy is still performed. Improper treatment at the first time can cause the following results: 1 delaying the disease and making the disease worse; 2 requiring reoperation, increasing the difficulty of reoperation, increased complications such as recurrent laryngeal nerve and parathyroid gland injury during reoperation, and increased postoperative recurrence; 3 Affect the appearance, quality of life decline; 4 increase the economic burden of patients; 5 decline in survival rate.