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作 者:房居高[1] Fang Jugao(Department of Otolaryngology-Head and Neck Surgery,Beijing Tongren Hospital,Capital Medical University,Key Laboratory of Otolaryngology-Head and Neck Surgery(Capital Medical University),Ministry of Education,Beijing 100730,China)
机构地区:[1]首都医科大学附属北京同仁医院耳鼻咽喉头颈外科,耳鼻咽喉头颈科学教育部重点实验室(首都医科大学),北京100730
出 处:《中华医学杂志》2023年第40期3152-3154,共3页National Medical Journal of China
摘 要:分化型甲状腺癌总体预后良好,但仍有部分患者就诊时进展为局部晚期。目前局部晚期甲状腺癌的诊治仍存在一些尚未完全明确的问题,也为临床治疗造成了一定困扰。本文针对局部晚期甲状腺癌术式选择、喉神经及气管受累的处理、分期手术时机选择及靶向治疗等问题进行分析阐述,旨在促进晚期甲状腺癌的规范化个体化治疗,提高生存率,改善生存质量。The overall prognosis of differentiated thyroid carcinoma is favorable,but some patients still progress to a locally advanced stage.At present,there are still some problems in the diagnosis and treatment of locally advanced thyroid cancer,which have not been completely clarified,and have caused some problems to the clinical treatment.This article provides a comprehensive analysis and elaboration on the selection of surgical methods for local advanced thyroid cancer,management of recurrent laryngeal nerve and trachea,timing selection of staging surgery,and targeted therapy,aiming at promoting standardized and individualized treatment for advanced thyroid cancer and improving the survival rate and quality of life.
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