甲状腺癌的诊治进展——Hopkins医院经验介绍

Advances of diagnosis and treatment with thyroid tumors-introduction of Hopkins Hospital's experien ces

目的 学习甲状腺癌诊断和治疗的现代观点。方法 参观 Hopkins医院内分泌和肿瘤外科的手术、门诊、查房和病例讨论会 ,并阅读近期文献。结果 发现甲状腺针吸细胞学检查是术前诊断甲状腺结节良恶性的最好方法。对甲状腺分化癌主张行甲状腺全切除术。对髓样癌常规进行 RET基因检测 ,对家族中 RET基因携带者行预防性甲状腺全切除术。结论 我国甲状腺癌的诊治水平和国际先进水平相比 。

Objective Study the current management of thyroid cancer.Methods Observe the thyroid operation, floor round and thyroid cancer clinic, attend the conference in Division of Endocrine and Oncology Surgery of Department of Surgery in Johns Hopkins Hospital.Results Find thyroid fine needle aspiration is the best method for distinguish malignant or benign nodules preoperatively. Total thyriodectomy or near total thyroidectomy is the preferred procedure for differentiated thyroid cancer.Prophylactic total thyroidectomy should be performed to those who are RET gene carriers and have positive family history with medullary thyroid cancer.Conclusions Compared with the most advanced levels in the world, management of thyroid cancers in China exists some distances.