21例甲状腺滤泡状癌临床诊治分析  

Diagnosis and Treatment of Follicular Thyroid Carcinoma:A Clinical Analysis of 21 Cases

作　　者：黄际远[1] 宋文忠[1] 戴庆靖[1] 郭佳[1] 

机构地区：[1]四川省医学科学院,四川省人民医院,四川成都610072

出　　处：《肿瘤学杂志》2016年第11期907-910,共4页Journal of Chinese Oncology

摘　　要：[目的]探讨甲状腺滤泡状癌的临床诊断、治疗及预后的影响因素。[方法]回顾性分析经病理确诊的甲状腺滤泡状癌患者21例,年龄23~76岁,均进行甲状腺切除术,7例行远处转移病灶切除术,术后均行碘-131(^(131)I)治疗。[结果 ]本组21例甲状腺滤泡状癌随访时间为3~120个月。临床治愈3例,好转12例,3例病情进展,死亡3例。[结论]甲状腺滤泡状癌诊断相对较为困难。确诊甲状腺滤泡状癌应行甲状腺全切除术,甲状腺滤泡癌术后^(131)I治疗安全、有效。[Objective] To review the diagnosis and treatment of patients with follicular thyroid carcinoma（FTC）. [Methods] The clinical data of 21 patients with FTC were retrospectively reviewed. The clinical feature,treatment and outcome of patients were analyzed. All patients underwent thyroidectomy and were treated with radioactive ^（131）I. Surgical intervention of metastases was performed in 7 patients. [Results] The follow-up period was 3~120 months. Among21 FTC patients,3 were cured,12 were improved,3 had progressive disease and 3 were died of the disease. [Conclusion] It is difficult in diagnosis of FTC compared to papillary thyroid carcinoma（PTC）. Diagnosis is confirmed by total thyroidectomy,and postoperative ^（131）I therapy is effective and safe.

关 键 词：甲状腺肿瘤 131I 

分 类 号：R736.1[医药卫生—肿瘤]