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1984年10月至1996年10月手术治疗甲状腺癌100例。其中男26例,女74例。年龄最小者12岁,最大78岁(平均48岁),其中45岁以下35例。病理证实乳头状癌57例,滤泡状癌35例,髓样癌4例,未分化癌4例。术前诊断依据临床表现、B超、同位素、细针穿刺细胞学检查及甲状腺淋巴造影。手术方法:Ⅰ、Ⅱ期癌行患侧甲状腺全切除,峡部切除及对侧大部切除,Ⅲ期癌行双侧甲状腺全切除,有颈淋巴结转移者作淋巴结廓清。结论:预后因素与病理类型、临床分期、颈淋巴结转移、年龄、性别有关系
From October 1984 to October 1996, 100 cases of thyroid cancer were treated surgically. There were 26 males and 74 females. The youngest were 12 years old and the youngest were 78 years old (average 48 years old), 35 of them were under 45 years old. Pathologically confirmed in 57 cases of papillary carcinoma, 35 cases of follicular carcinoma, 4 cases of medullary carcinoma, 4 cases of undifferentiated carcinoma. Preoperative diagnosis was based on clinical manifestations, B ultrasound, isotopes, fine needle aspiration cytology, and thyroid lymphography. Surgical methods: Stage I and II cancers underwent ipsilateral total thyroidectomy, isthmic resection and contralateral subtotal resection. Stage III cancer underwent bilateral total thyroidectomy. Lymph node dissection was performed in patients with cervical lymph node metastases. Conclusion: Prognostic factors are related to pathological type, clinical stage, cervical lymph node metastasis, age, and gender