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本文回顾分析了本院自1973年10月到1997年10月收治的隐匿性甲状腺癌71例,占同期甲状腺癌病人的4.4%。其中以颈部淋巴结转移为首发症状者28例,以甲状腺肿块为首发症状者43例。全部患者均手术治疗。随访1~24年。全组5、10、15、20年生存率分别为100%、92.5%、90.0%、90.0%,其10年生存率与1、Ⅱ期甲状腺癌无明显差异。治疗上要采取积极的态度。
This article reviews 71 cases of occult thyroid cancer treated in this hospital from October 1973 to October 1997, accounting for 4.4% of thyroid cancer patients in the same period. Among them, 28 cases had the first symptom of cervical lymph node metastasis, and 43 cases had the first symptom of thyroid tumor. All patients were treated surgically. Followed up 1-24 years. The 5-year, 10-, 15-, and 20-year survival rates for the whole group were 100%, 92.5%, 90.0%, and 90.0%, respectively, and there was no significant difference in 10-year survival rate and stage 1, stage II thyroid cancer. Treatment should take a positive attitude.