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自1985年4月至1995年6月,作者治疗幼年甲状腺癌6例,占同期甲状腺癌病例总数的5.0%。文章指出:幼年期出现甲状腺肿块,甲状腺癌的可能性比成年人大,其病理类型多为乳头状癌及滤泡状癌。在诊断方面,应重视病史及体检,还可选择应用一些辅助检查,必要时术中行冰冻切片检查。原发癌的治疗,以采用患侧腺叶合并峡部切除为宜,尽量避免全甲状腺切除。对颈部转移癌行颈淋巴结清除时,宜采用功能性术式。放射治疗不宜广泛应用。文章认为,幼年甲状腺癌的预后较好。
From April 1985 to June 1995, the author treated 6 cases of thyroid cancer, accounting for 5.0% of the total cases of thyroid cancer in the same period. The article pointed out that thyroid masses appear in childhood, and thyroid cancer is more likely than adults. The pathological types are mostly papillary and follicular. In terms of diagnosis, medical history and physical examination should be emphasized, and some auxiliary examinations can also be selected, and frozen section examinations should be performed during surgery. The treatment of primary cancer is appropriate to use the ipsilateral glands with isthmic resection and try to avoid total thyroidectomy. For neck metastases with cervical lymph node clearance, functional procedures should be used. Radiation therapy should not be widely used. The article believes that the prognosis of young thyroid cancer is better.