甲状腺微小乳头状癌的诊治热点  

Hot Issues in Diagnosis and Treatment of Papillary Thyroid Microcarcinoma

作　　者：殷德涛[1,2] 董晔尧 YIN De-tao;DONG Ye-yao(Department of Thyroid Surgery,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院甲状腺外科,河南郑州450052 [2]河南省高等学校临床医学重点学科开放实验室,河南郑州450052

出　　处：《医学与哲学（B）》2018年第7期23-25,共3页Medicine & Philosophy(B)

基　　金：2013年国家自然科学基金(81372863);2016年河南省科技攻关项目(162102310514)

摘　　要：近年来,随着高分辨率超声应用的不断普及,甲状腺乳头状癌(PTC)的检出率激增,其中甲状腺微小乳头状癌(PTMC)所占比重逐渐上升。PTMC的第一个特征即发病率高,进展缓慢,预后较好。另一个特征就是易发生颈部淋巴结转移,对大多数患者而言,颈部淋巴结转移对于患者生存期的影响较小,却会增加复发风险。正是由于PTMC的这些特征,如何对不同的PTMC患者制定规范化、个体化的诊疗方案已经成为了临床工作中重点关注的问题。本文就其临床诊治热点进行一述评。In recent years,with the continuous popularization of high resolution ultrasound,the detection rate of papillary thyroid carcinoma(PTC)has increased sharply,and the proportion of papillary thyroid microcarcinoma(PTMC)is increasing gradually.The first feature of PTMC is high incidence,slow progress and good prognosis.Another feature is the easy cervical lymph node metastasis.For most patients,cervical lymph node metastasis has less impact on the patient's survival time,but it will increase the risk of recurrence.It is precisely because of these features of PTMC that how to establish a standardized and individualized diagnosis and treatment scheme for different PTMC patients has become a key concern in clinical work.This article reviews the hot issues in clinical diagnosis and treatment.

关 键 词：甲状腺微小乳头状癌 诊治 规范化 个体化 

分 类 号：R736.1[医药卫生—肿瘤]