甲状腺未分化癌──附33例临床分析  

Anaplastic carcinoma of the thyroid:An analysis of 33cases

作　　者：孟刚[1] 马东白[1] 王弘士[1] 沈铭昌[1] 龚志军[1] 稽庆海[1] 

机构地区：[1]上海医科大学附属肿瘤医院

出　　处：《中华外科杂志》1994年第1期46-48,共3页Chinese Journal of Surgery

摘　　要：文内对１９５９～１９８９年我院收治的３３例甲状腺未分化癌进行了回顾性的分析：未分化癌２７例，合并分化型癌６例，３年、５年、１０年生存率分别为３５．４８％、３６．６７％，２９．６３％。本组预后分析表明：年龄小于４５岁比大于４５岁的好，原发灶小于４ｃｍ的比大于４ｃｍ的好，根治性手术和根治术后放疗的疗效较好；合并癌较未分化癌好。作者强调以手术为主的综合治疗，手术方式应根据原发灶的大小制定手术范围，并提出：对未分化癌的早期诊断、早期治疗、以及手术的彻底性，术后的综合治疗是提高治愈率。AbstractThirty-three patients with anaplastic carcinoma ofthe thyroid were threated during the past 30 years with27 cases of simple anaplastic carcinoma and the other 6found also with some differentiated carcinoma compo-nent.Survival rate of 3,5 and 10 years were 35.5%,36.7% and 29.6%, respectively.The survival rate ofpatients younger than 45 years were higher than older,and of those with tumor size less than 4cm in diameterwere better than that with larger size. Patients re-ceived radical surgery plus adjuvant therapy had bettersurvival rate, and patients with differentiated carcino-ma component had better survival rate. This studysuggested that surgical treatment plus adjuvant thera-py is the treatment of choice in anaplastic carcinoma ofthe thyroid, and the extent of the operation must bedependent on the size of primary tumor

关 键 词：甲状腺肿瘤 癌 病理学 临床分析 

分 类 号：R736.102[医药卫生—肿瘤]