甲状腺微小乳头状癌的临床治疗现状  

Clinical treatment status of papillary thyroid microcarcinoma

作　　者：朱莹 王蓓[2] ZHU Ying;WANG Bei(Shandong First Medical University&Shandong Academy of Medical Sciences;The First Affiliated Hospital of Shandong First Medical University&Shandong Provincial Qianfoshan Hospital,Shandong Medicine and Health Key Laboratory of Abdominal Medicine Imaging,Jinan 250014,China)

机构地区：[1]山东第一医科大学(山东省医学科学院) [2]山东第一医科大学第一附属医院(山东省千佛山医院),山东省医药卫生腹部医学影像学重点实验室,济南250014

出　　处：《济宁医学院学报》2022年第6期386-391,共6页Journal of Jining Medical University

摘　　要：甲状腺微小乳头状癌(PTMC)是一种直径1cm以下的特殊亚型甲状腺乳头状癌,其发病率虽逐年上升但预后良好。传统手术治疗作为PTMC主流的治疗方法应用最广泛,治疗效果也得到了一致的认可,但术后瘢痕及并发症加重了患者的负担。热消融技术短期内治疗效果并不亚于传统手术,而且创口小、治疗费用低,因此成为PTMC患者的新选择。部分低风险的PTMC长期处于非进展状态,使得主动监测治疗也成为治疗的一种选择。目前,PTMC的疾病管理策略的选择相对多样,治疗的争议也与日俱增。本文总结了现阶段PTMC主要的治疗方法并做一综述。Papillary Thyroid Micro-Carcinoma(PTMC)is a special subtype of papillary thyroid carcinoma which is less than 1 cm in diameter.Inspite of the yearly increasing incidence,it does have a good prognosis.Traditional surgery is the most widely applied treatment method for PTMC,of which the results are highly recognized.However,the postoperative scars and the complications have aggravated the burden of patients.Compared with traditional surgery,thermal ablation has become a new option for PTMC patients for its short-term therapeutic effect with a smaller wound and lower treatment cost.Some low-risk PTMCs are at long-term non-progressive status,making active monitoring treatment become one of the treatment options as well.At present,there are relatively various options for the disease management strategy of PTMC and the controversies on treatment also are increasing.This paper summarizes and reviews the current main therapies for PTMC.

关 键 词：甲状腺 微小乳头状癌 主动监测 热消融 

分 类 号：R736.1[医药卫生—肿瘤]