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目的 探讨老年甲状腺癌 (甲癌 )的发病规律、临床病理特征及治疗方法。方法 分析 40例老年甲癌的临床与病理特点及治疗、预后情况。结果 老年甲癌发病率占同期甲癌的 14 2 %。其病程较长 ,肿瘤较大。病理以滤泡状癌最多 ,占 35 % ;混合性腺癌次之 ;再次之为未分化癌及乳头状癌。治疗以手术为主。根治术 17例 ,全切及次全切除术 13例 ,姑息性切除 4例。必要时辅以同位素治疗或放疗。 5年生存率为 5 2 0 %。随访期死亡 18例 ,占 45 %。结论 老年甲癌预后较差的主要原因是老年甲癌恶性度偏高 ,以及老年人对本病反应较差而延误诊治。因此 ,对老年甲状腺结节 ,应予高度重视 ,采取积极态度 ,争取尽早手术
Objective To investigate the incidence, clinical pathology and treatment of senile thyroid cancer (carcinoma). Methods The clinical and pathological features, treatment and prognosis of 40 elderly patients with nail cancer were analyzed. Results The incidence of elderly cancer accounted for 14 2% of the same period. The course of the disease is longer and the tumor is larger. Pathologically, the most cases were follicular carcinoma, accounting for 35%; mixed adenocarcinoma was the second; undifferentiated carcinoma and papillary carcinoma were the second. Treatment is based on surgery. Radical surgery in 17 cases, total and subtotal resection in 13 cases, palliative resection in 4 cases. When necessary, supplemented by isotope therapy or radiotherapy. The 5-year survival rate was 5.20%. During follow-up, 18 patients died, accounting for 45 %. Conclusion The main reason for the poor prognosis of elderly patients with Alcarcinoma is the high malignancy of elderly patients with Alpha Carcinoma, and the poor response of the elderly to the disease and delays diagnosis and treatment. Therefore, senile thyroid nodules should be highly valued and take a positive attitude towards early surgery.