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21例甲状腺滤泡状癌临床诊治分析 被引量:1

Diagnosis and Treatment of Follicular Thyroid Carcinoma:A Clinical Analysis of 21 Cases
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摘要 [目的]探讨甲状腺滤泡状癌的临床诊断、治疗及预后的影响因素。[方法]回顾性分析经病理确诊的甲状腺滤泡状癌患者21例,年龄23~76岁,均进行甲状腺切除术,7例行远处转移病灶切除术,术后均行碘-131(^(131)I)治疗。[结果 ]本组21例甲状腺滤泡状癌随访时间为3~120个月。临床治愈3例,好转12例,3例病情进展,死亡3例。[结论]甲状腺滤泡状癌诊断相对较为困难。确诊甲状腺滤泡状癌应行甲状腺全切除术,甲状腺滤泡癌术后^(131)I治疗安全、有效。 [Objective] To review the diagnosis and treatment of patients with follicular thyroid carcinoma(FTC). [Methods] The clinical data of 21 patients with FTC were retrospectively reviewed. The clinical feature,treatment and outcome of patients were analyzed. All patients underwent thyroidectomy and were treated with radioactive ^(131)I. Surgical intervention of metastases was performed in 7 patients. [Results] The follow-up period was 3~120 months. Among21 FTC patients,3 were cured,12 were improved,3 had progressive disease and 3 were died of the disease. [Conclusion] It is difficult in diagnosis of FTC compared to papillary thyroid carcinoma(PTC). Diagnosis is confirmed by total thyroidectomy,and postoperative ^(131)I therapy is effective and safe.
出处 《肿瘤学杂志》 CAS 2016年第11期907-910,共4页 Journal of Chinese Oncology
关键词 甲状腺肿瘤 131I thyroid neoplasms radioactive iodine 131
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