甲状腺癌100例临床病理分析  

Clinical Pathology Analysis of 100 cases with Thyroid Carcinoma

作　　者：李胜利[1] 毕文凯[1] 陈平[1] 姚力[1] 赵静波[1] 贾振庚[1] 

机构地区：[1]中日友好医院外科

出　　处：《中国实用外科杂志》1998年第5期282-283,共2页Chinese Journal of Practical Surgery

摘　　要：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。Over 12 years periods(1984-1996),100 patients operated by us were excemined by pathlogist.All of them are thyroid carcinoma,57 bapillemy cases,35 follicular cases,4 meclullany cases,4 unclifferentiation cases.The properated diagnosis was bused on clinical fundings fine neddle aspriation apptology.Altrasomd and thyroid nuclide scanning with I and cymphamy iorgraphy of thyroid.Ipsilatiral lobectomy and isthmectomy plus contralateral subtotal lobectomy was performed for patients with TNM Grade Ⅰ+Ⅱ,bila terar total thyroidctomy for TNM Grade Ⅲ.And node dissection was berformal for patients with cerical lymph nodes metastasised prognostic influencing factors were related to pathologyical type,clinical stage,cerrcal lymp nodes metustasis extents,age and sex.Andalysis of clinical pathology of 100 cases of thyroids.

关 键 词：病理 预后 甲状腺肿瘤 外科手术 

分 类 号：R736.1[医药卫生—肿瘤]