甲状腺癌的多学科综合治疗的必要性及策略

The necessity and strategy of multidisciplinary team in management of thyroid carcinoma

TC是内分泌系统最常见的恶性肿瘤。单纯外科手术治疗不能满足TC的治疗要求。近年来，随着多学科综合治疗（muhidisciplinary team，MDT）概念的普及，我国临床肿瘤诊治的MDT建设进展迅速，对肿瘤诊治水平提高发挥了重要作用。MDT在对TC的诊断、治疗、术后管理、新技术应用及转化医学的研究方面，均扮演着重要角色。MDT模式可最大限度地发挥各学科专长、加强学科间协作，为TC患者提供规范化和个体化相统一的综合治疗。组建MDT对TC进行包括外科、内分泌科、核医学科、放疗、影像、病理等专科在内的会诊讨论，进行多学科综合治疗对提高患者生存质量，改善患者预后，同时避免过度治疗具有重要意义。

Thyroid carcinoma is the most common malignancy in the endocrine system. Most patients cannot be cured with operation alone. The concept and implementation of multidisciplinary team （MDT） in clinical oncology attributes to improved diagnosis and treatment of cancer. MDT plays an important role in diagnosis, treatment, and post operational management of thyroid carcinoma, as well as in the application of novel techniques and translational medicine. MDT can maximize the expertise of various disciplines, strengthen inter disciplinary cooperation, and provide standardized and individualized comprehensive treatment for patients with thyroid cancer. The most important benefit of MDT is that individual patient gets the most appropriate treatment decision made by a team of experts, including endocrinologists, nuclear medicine specialists, pathologists, radiologists, radiation therapists, and surgeons. This will be of great significance to improve quality of life and prognosis, at the same time, avoid over-treatment of thyroid cancer.