23例分化型甲状腺癌复发再手术临床分析  

23 cases clinical analysis of relapse re-operation of differentiated thyroid cancer

作　　者：许俊明[1] 许林[1] 洪明[1] 

机构地区：[1]厦门市第一医院肿瘤中心,361003

出　　处：《福建医药杂志》2003年第2期26-27,共2页Fujian Medical Journal

摘　　要：目的　探讨分化型甲状腺癌 (甲癌 )术后复发的原因及早期诊断与治疗。方法　分析 2 3例分化型甲癌复发再手术的临床资料 ,结合文献进行讨论。结果　据 AJCC临床分期 , 期 9例、 期 7例、 期 5例、 期 2例。乳头状癌 17例、滤泡癌 5例、髓样癌 1例。 5年生存率 81.3% ,10年生存率 75 .0 %。结论　首次术式选择不当 ,缺碘或放弃甲状腺素激素抑制疗法 ,是复发的主要原因。滤泡型乳头状癌复发率甚高 ,占 34.8% (8/2 3) ,应引起临床重视。 1 8F- FDGPET或 99Tcm- MIBI显像检查有助于早期诊断 。Objective\ To probe into the reason and early diagnosis and treatment of differentiated thyroid cancer after the operation.Methods\ Analysing the clinical materials of 23 cases relapse re operation of differentiated thyroid cancer and discussing it combining the related materials.Results\ According to AJCC there divided into stages:there was 9 cases in stage Ⅰ,7 case in stage Ⅱ,5 cases in stage Ⅲ,2 cases in stage Ⅳ.There was 5 cases of papillary and follicle cancer and 1 case of medullary carcinoma cancer.Five years live rate was 81 3% and 10 years live rate was 75 0% Conclusion\ The unsuitable initial way of operation,short of iodine or abandoning the restrained treatment method of thyroid hormone was the main cause of relapse.The relapse rate of follicle style papillary carcinoma cancer was quite high,which occupied 34 8%(8/23) and should pay clinical attention 18 F FDGPET or 99 Tc m MIBI video examination was helpful to the early diagnosis.Appropriate operational treatment can make the patients obtain the chance of being operated once more.

关 键 词：分化型甲状腺癌 复发 再手术 临床分析 治疗 

分 类 号：R736.1[医药卫生—肿瘤]