分化型甲状腺癌诊断和治疗的国内进展  

Differentiated Thyroid Cancer′s Diagnosis and Treatment Progress in China

作　　者：谭介恒[1] 凌文龙[1] 蓝秋丽[1] 

机构地区：[1]柳州医学高等专科学校第二附属医院普外科,广西柳州545006

出　　处：《医学综述》2012年第18期2986-2988,共3页Medical Recapitulate

摘　　要：甲状腺癌在内分泌肿瘤和头颈肿瘤中均占第1位,近年来有逐年增高的趋势,已成为常见的恶性肿瘤之一。尤其是中青年女性发病率较高,其中90%属于分化型甲状腺癌。而分化型甲状腺癌又是最常见的甲状腺恶性肿瘤,包括乳头状癌和滤泡状癌,早期无特异性表现,诊断需结合病史、体格检查、影像学检查,但穿刺细胞学检查是术前确诊的重要依据。治疗方法有手术治疗、放射治疗、内分泌治疗。然而,对于分化型甲状腺癌的诊治存在很多争议,特别是在国内的甲状腺癌诊治方面还没有统一规范的诊治指南,而且各地区也存在诊治水平的参差不齐。As the number one cancer of endocrine tumors and head and neck tumors,thyroid cancer has been in an uptrend in recent years,and has become one of the common malignant tumors,the incidence of which is especially high among young women,including 90% differentiated thyroid cancer.Differentiated thyroid cancer is the most common thyroid malignancies,including papillary carcinoma and follicular carcinoma,no specific manifestations in the early stage,diagnosis requires a combination of history,physical examination,and imaging studies,while fine needle aspiration biopsy is an important basis for preoperative confirmation.Treatment methods are surgery,radiotherapy,endocrine therapy.However,for the diagnosis and treatment of differentiated thyroid cancer,there are a lot of controversy,especially there is no unified and standard treatment guidelines in the diagnosis and treatment of thyroid cancer in China so far,and levels in different regions vary a lot.

关 键 词：分化型甲状腺癌 诊断 治疗 国内进展 

分 类 号：R736.1[医药卫生—肿瘤]