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目的探讨甲状腺癌外科手术治疗的方式、效果及预后。方法回顾性分析2000年2月至2010年2月六安市第二人民医院普外科收治的41例甲状腺癌患者的临床资料。结果 41例甲状腺癌中乳头状腺癌33例,滤泡状腺癌5例,髓样癌2例,未分化癌1例,均行手术治疗,术中冰冻及术后病理明确诊断,其中甲状腺微小癌6例为乳头状癌,术后随访时间1-5年,33例乳头状腺癌及5例滤泡状腺癌生活良好,1例髓样癌手术后一年死亡,1例未分化癌手术后6个月死亡。结论甲状腺癌早期诊断、早期治疗、规范手术范围决定了患者预后,同时应加强术后的后续治疗。
Objective To investigate the surgical treatment of thyroid cancer, the effect and prognosis. Methods The clinical data of 41 patients with thyroid cancer who underwent general surgery in the Second People ’s Hospital of Lu’an from February 2000 to February 2010 were retrospectively analyzed. Results Thirty-one cases of papillary thyroid carcinoma, 5 follicular adenocarcinoma, 2 medullary carcinoma and 1 undifferentiated carcinoma were treated by thyroidectomy in thyroid cancer. All of them were undergone surgical treatment, frozen intraoperatively and postoperative pathological diagnosis. Thyroid 6 cases of micro-cancer were papillary carcinoma. The patients were followed up for 1-5 years. 33 cases of papillary adenocarcinoma and 5 cases of follicular adenocarcinoma had a good life. One case of medullary carcinoma died one year after operation and one case of undifferentiated 6 months after cancer death. Conclusion Early diagnosis, early treatment of thyroid cancer, the scope of the standard operation determines the prognosis of patients, and should follow up the postoperative follow-up treatment.