论文部分内容阅读
目的 探讨分化型甲状腺癌 (甲癌 )术后复发的原因及早期诊断与治疗。方法 分析 2 3例分化型甲癌复发再手术的临床资料 ,结合文献进行讨论。结果 据 AJCC临床分期 , 期 9例、 期 7例、 期 5例、 期 2例。乳头状癌 17例、滤泡癌 5例、髓样癌 1例。 5年生存率 81.3% ,10年生存率 75 .0 %。结论 首次术式选择不当 ,缺碘或放弃甲状腺素激素抑制疗法 ,是复发的主要原因。滤泡型乳头状癌复发率甚高 ,占 34.8% (8/2 3) ,应引起临床重视。 1 8F- FDGPET或 99Tcm- MIBI显像检查有助于早期诊断 ,恰当的手术治疗可使病人获得再次手术根治的机会
Objective To investigate the causes of postoperative recurrence of differentiated thyroid carcinoma (A) and its early diagnosis and treatment. Methods Clinical data of 23 cases of differentiated recurrent thyroid carcinoma after operation were analyzed and discussed in the literature. Results According to AJCC clinical stage, 9 cases, 7 cases, 5 cases, 2 cases. Papillary carcinoma in 17 cases, follicular carcinoma in 5 cases, medullary carcinoma in 1 case. The 5-year survival rate was 81.3% and the 10-year survival rate was 75.0%. Conclusions The first choice of surgical procedure is improper, iodine deficiency or to give up thyroid hormone suppression therapy, is the main reason for recurrence. Follicular papillary carcinoma recurrence rate is very high, accounting for 34.8% (8/2 3), should cause clinical attention. 1 8F- FDG PET or 99Tcm-MIBI imaging can be helpful for early diagnosis, and appropriate surgical treatment can give the patient the chance of reoperation