甲状腺髓样癌的临床病理特点及治疗

The Clinical Pathological Characteristics and Treatment of Medullary Thyroid Carcinoam

目的 探讨甲状腺髓样癌(MTC)的临床病理特点,诊断和治疗方法。方法 对1980-2002年收治的23例MTC的临床和病理资料进行回顾性分析。结果 全部病人均行手术治疗,均经病理检查证实,淋巴结转移率为69.6％。死亡5例,11例存活5年以上,6例存活10年以上。结论MTC较易出现颈淋巴结转移,少数可出现类癌综合征,其预后相对较好,治疗应以根治切除为原则,不应随意缩小手术范围。

Objective To explore the clinical pathological characteristics, diagnosis and therapeutic method of medullary thyroid carcinoma. Methods The clinical pathological information of 23 cases of MTC has been analyzed. Results All the patients have been given operations and pathological tests. It shows 69% of the patients have found cancer cells in their limph node,5 cases died, 11 cases lived over 5 years,6 cases lived over 10 years after the operation. Conclusion It is easy for the patients with MTC to find the cancer cells in their neck limph,a few of them may have manifest carcinoma syndrome and the prognosis is quite good. It should take a thorough operation as the method and should not reduce at random the range of operation.