重视甲状腺癌术后规范化长期随访  

Paying attention to postoperative standardized long-term follow-up of thyroid cancer

作　　者：田文[1] 郗洪庆[1] 王冰[1] 

机构地区：[1]中国人民解放军总医院普通外科,北京100853

出　　处：《中国实用外科杂志》2017年第9期937-940,共4页Chinese Journal of Practical Surgery

摘　　要：近年来,甲状腺癌发病率呈明显上升趋势。手术是治疗甲状腺癌最主要的手段。分化型甲状腺癌(DTC)总体预后较好,但甲状腺癌术后约30%病人会出现复发或转移,终生规范化随访和监控尤为重要。随访内容包括甲状腺功能的测定、甲状腺球蛋白(Tg)测定、颈部超声及131I全身扫描、18-氟脱氧葡萄糖正电子发射计算机断层扫描(18FDG PET)等。规范化长期随访动态观察病情进展,早期发现肿瘤复发及转移,监控治疗效果并及时调整治疗方案,对降低DTC病死率意义重大,甲状腺癌术后规范化管理势在必行。Paying attention to postoperative standardized long-term follow-up of thyroid cancer TIAN Wen, XI Hong-qing,WANG Bing. Department of General Surgery,Chinese People’s Liberation Army General Hospital,Beijing 100853,China Corresponding author：TIAN Wen,E-mail：[e-mail] Abstract In recent years,the incidence of thyroid cancer has increased significantly. Surgery is the most important treatment for thyroid cancer. The overall prognosis of differentiated thyroid cancer is better. But about 30% of patients with thyroid cancer will recur or be metastasis, and lifelong standardized follow-up and monitoring are important particularly. Follow-up includes thyroid function determination, thyroglobulin （Tg） determination, neck ultrasound and 131I full-body scan, 18FDG PET and so on. Standardized long-term follow-up and dynamic observation of disease progression, early detection of tumor recurrence and metastasis, monitoring treatment and timely adjustment of treatment options are significant to reduce the mortality of differentiated thyroid cancer. The postoperative thyroid cancer standardized management is imperative.

关 键 词：甲状腺癌 手术 术后随访 

分 类 号：R6[医药卫生—外科学]