分化型甲状腺癌复发再手术36例分析  

Analysis of 36 reoperated cases of recurrent 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外科,福建厦门361003

出　　处：《现代肿瘤医学》2003年第4期271-272,共2页Journal of Modern Oncology

摘　　要：目的　探讨分化型甲状腺癌术后复发的原因及早期诊断与治疗。方法　分析 36例分化型甲状腺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 ,Ⅰ期 12例、Ⅱ期 10例、Ⅲ期 9例、Ⅳ期 5例。乳头状癌 2 2例、滤泡癌 10例、髓样癌 4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 36 .1%(13/36 ) ,应引起临床重视。18F -FDGPET或99Tcm -MIBI显像检查有助于早期诊断 ,恰当的手术治疗 ,可使病人获得再次手术根治的机会。Objective To study the reason and early diagnosis and treatment of differentiated thyroid cancer after operation.Methods Analysing the clinical material of 36 reoperated cases of differentiated thyroid cancer.Results According to AJCC 12 cases in stage Ⅰ,10 case in stage Ⅱ,9 cases in stage Ⅲ , 5 cases in stage Ⅳ. There were 12 cases of papillary and 10 cases follicular cancer and 4 case of medullary carcinoma cancer. Five year survival rate was 81.3% and 10 years was 75.0%. Conclusion The unsuitable initial way of operation, short of iodine or abandoning the restrained treatment method of thyroid hormone are the main causes of relapse.The relapse rate of follicle style papillary carcinoma cancer is quite high, which occupied 36.1%(13/36) and should pay clinical attention. 18 F-FDGPET or 99 Tcm-MIBI video examination is helpful to the early diagnosis.

关 键 词：分化型甲状腺癌 复发 再手术 治疗 

分 类 号：R736.1[医药卫生—肿瘤]