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47例甲状腺癌的外科治疗

Apprach to the operative mode surgical treatment of thyroid cancer──An analysis of 47 cases

  • 摘要: 我科于1981年至1990年收治甲状腺癌50例,术前诊断良性瘤24例,颈部肿块6例,恶性20例。其中针吸细胞学检查阳性13例,手术治疗47例,不能手术3例。本组行肿块单纯局切12例,复发9例,复发率75%.术后五年生存率58.33%,10年生存率16.67%,带瘤生存1例。而行患侧腺叶加峡部全切或对侧次全切除,双侧腺叶次全切除以及联合根治术者均未见复发,术后五年生存率87.87%,10年生存率24.24%.本文讨论了甲状腺癌的诊断及手术方式的选择。

     

    Abstract: There were 50 patients with thyroid cancers treated in our department from 1981 to 1990, of which 24 cases were benign tumors. 6 cervical masses 20 malignanes diagnosed preoperatively Fine-needle aspiration cytologic examinations were perfomed in 13 cases, and surgical treatments done in 47 patients.In our growp,simple local resections were performed in 12 cases, of wich 9 cases had recurrance and 5、10-year survival rates were 58. 33%, and 16. 67% respectively. There was one case surviving with tumor. Howers, ipsilateral lobecteries plus isthmus resections or contralateral subtotal lobectomies, bilaterol subtalal labectomies and total thyroideetomies with modified radical node.disections were dons in 35 cases, who had no local recarrance, of which 5、10-year survival rates were 87. 87% and 24. 24%. The authors discussed diagnosis and choice of surgical procedures of thyroid cancer in this paper.

     

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