分化型甲状腺癌外科治疗的研究进展  

作　　者：陈祯勇[1] 

机构地区：[1]四川大学华西医院西藏成办分院普外科,610041

出　　处：《当代医学》2013年第2期12-13,共2页Contemporary Medicine

摘　　要：分化型甲状腺癌包括乳头状癌和滤泡性癌,其治疗以外科手术为主。关于分化型甲状腺癌原发病灶手术切除的合适范围、颈淋巴结清扫的适应证和范围、术后甲状腺残余放射性碘去除的作用和甲状腺素抑制治疗等方面,目前仍存争议。本文从循证医学的角度去探索和解释分化型甲状腺癌外科治疗问题,并综述相关研究进展。结果表明对于分化型甲状腺癌,适当与精确的检查治疗手段与选择合理的手术方式十分重要,可有效减少术后癌症复发和再次手术的几率。Diferentiated thyroid cance（rDTC）presents as a solitary thyroid nodule,as multinodular goiter, or as a neck mass.Surgery is the treatment of choice and most of the specialists consider that total thyroidectomy with central cervical lymph nodes dissection must be applied in all patients.Some specialists prefer a more conservative surgical treatment in order to avoid complications.Papillary and follicular thyroid carcinomas are the most common thyroid malignancies and are usually indolent.Lymph-node involvement increases the rate of tumor recurrence and reduces long-term survival.We concluded that DTC has an aggressive behavior at presentation.Recent advances in the understanding of DTC tumor biology hold promise for improving the ability to predict tumor behavior and surgery model,thereby allowing more appropriate risk stratification,imaging surveillance, and treatment.

关 键 词：分化型甲状腺癌 外科手术 碘131 

分 类 号：R736.1[医药卫生—肿瘤]