分化型甲状腺癌局部/区域性复发的局部治疗进展  

Progress in local treatment for local/regional recurrence in differentiated thyroid cancer

作　　者：任书乐 高贞[2] 沈杉杉 张宏涛[2] Ren Shule;Gao Zhen;Shen Shanshan;Zhang Hongtao(Graduate School Hebei Medical University,Shijiazhuang 050017,China;Department of Oncology,Hebei General Hospital,Shijiazhuang 050051,China;Imaging Department,Hebei General Hospital,Shijiazhuang 050051,China)

机构地区：[1]河北医科大学研究生学院,石家庄050017 [2]河北省人民医院肿瘤科,石家庄050051 [3]河北省人民医院影像科,石家庄050051

出　　处：《中华内分泌外科杂志(中英文)》2025年第1期124-128,共5页Chinese Journal of Endocrine Surgery

基　　金：河北省医学科学研究课题计划(20242321)。

摘　　要：分化型甲状腺癌(DTC)患者经手术治疗后预后良好,但仍有部分患者出现复发或转移。局部/区域性复发病灶侵犯或压迫食管、气管等周围器官,出现瘘、梗阻、出血等表现,这类患者应首先考虑局部治疗,有效控制肿瘤生长,减轻症状。局部治疗是控制局部病灶的重要手段,在恶性肿瘤治疗中具有重要地位。可用于甲状腺癌复发后的局部治疗包括再次手术、消融、碘-125粒子植入、体外放疗等,本文依据指南及相关文献,对DTC局部/区域性复发的局部治疗效果和并发症进行综述。Patients with differentiated thyroid cancer have a good prognosis after surgical treatment,but there are still some patients with recurrence or metastasis.Local/regional recurrent lesions invade or compress the surrounding organs such as esophagus and trachea,and appear fistula,obstruction,bleeding and other manifestations.For such patients,local treatment should be preferred to effectively control tumor growth and alleviate symptoms.Local treatment is an important means to control local lesions and has an important position in the treatment of malignant tumors.It can be used for local treatment of recurrent thyroid cancer,including reoperation,ablation,^(125)I seed implantation,external beam radiotherapy.This review reviews the local treatment effects and complications of local/regional recurrence of differentiated thyroid cancer according to the guidelines and related literature.

关 键 词：甲状腺 分化型甲状腺癌 局部治疗 ^(125)I粒子 

分 类 号：R736.1[医药卫生—肿瘤]