分化型甲状腺癌的颈部扩清问题  

Some aspects on cervical extensive dissection of differentiated thyroid cancer: report on 60 cases

作　　者：金涛[1] 丁菊荣[1] 

机构地区：[1]宁夏医学院附属医院肿瘤外科

出　　处：《宁夏医学杂志》1996年第4期213-214,共2页Ningxia Medical Journal

摘　　要：本文报告了１９８１年１月～１９９０年１２月期间我科收治的６０例具有侵犯性的分化型甲状腺癌的颈部扩清情况，结合５年随访资料，着重讨论其扩清时机及术式选择等问题。作者认为，具有侵犯性的分化型甲状腺癌淋巴转移率很高，一些病例发展较速，在诊断后如不给予及时彻底的清除，易造成局部复发，甚或远处转移，再次扩清效果不佳。术式选择提倡功能性扩清术。Sixty patients have been admitted with invasive thyroid cancer to our hospital between January 1986 and December 1990.There conditions of cervical extensive dissection and its data of 5 years followup are reported.This discussion will focus on the choice of surgical resection;when is the right time and which is the best operative procedure.Because of its high metastatic incidence,quick development,easy local recussence,distant metastases and bad effect of secondary extensive dissection,The author suggest that radical dissection is the appropriate treatment for this invasive differentiated thyroid cancer after adequate pretreatment evaluation has established the diagnosis.It is advisable carry out functional extensive dissection and cast away the local extensive dissection.

关 键 词：甲状腺肿瘤 颈部扩清 病例报告 

分 类 号：R736.105[医药卫生—肿瘤]