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目的甲状腺癌的发病率有逐年上升趋势,虽然手术效果良好,但仍有部分患者由于种种原因导致术后复发。最常见的复发因素是术前正确诊断率低,这是由于甲状腺癌早期无特异性表现,影像学检查有时又难以确诊所致;术式选择不当造成局部癌组织残留以至复发亦是较常见的复发因素;此外,病理类型、颈部淋巴结转移否及外源性因素等均与癌复发有一定相关性。本文综述甲状腺癌术后复发相关因素并阐述相关检查在诊断甲状腺癌中的作用与价值。
Purpose The incidence of thyroid cancer has increased year by year, although the effect of surgery is good, but still some patients lead to postoperative recurrence due to various reasons. The most common recurrence factor is the low preoperative diagnosis, which is due to the early nonspecific appearance of thyroid cancer, and imaging diagnosis is sometimes difficult to diagnose due to inappropriate selection of surgical procedures to cause local cancer tissue residues and recurrence is also more common Recurrence factors; In addition, the pathological type, cervical lymph node metastasis and exogenous factors have a certain correlation with cancer recurrence. This article reviews the related factors of recurrence of thyroid cancer and describes the role and value of related tests in the diagnosis of thyroid cancer.