原发性甲状腺鳞状细胞癌1例并文献复习

Primary squamous cell carcinoma of thyroid and literature review

观察1例原发性甲状腺鳞癌患者的诊治经过,结合文献分析原发性甲状腺鳞状细胞癌的临床特征和生存相关因素。早期诊断和早期治疗对于原发性甲状腺鳞癌患者的生存质量和生存时间具有决定性的作用。甲状腺良性肿瘤长期刺激也有可能导致细胞鳞状化生和癌变,早期手术并能完整切除肿瘤是最重要的决定预后的因素,放化疗可进一步延长患者的生命。临床工作重点是早期诊断甲状腺鳞癌,甲状腺良性肿瘤的随访和处理应该更积极,治疗上首选手术,可适当辅以放化疗。

The diagnosis and treatment of a case of primary thyroid squamous cell carcinoma were observed and analyzed by literature review.The clinical features and survival factors of primary thyroid squamous cell carcinoma were analyzed.Early diagnosis and treatment play a decisive role in the quality and survival time of patients with primary thyroid squamous cell carcinoma.Long-term stimulation of benign thyroid tumors may also lead to squamous metaplasia and canceration.Surgical resection of the tumor is the most important prognostic factor.Chemoradiotherapy can further prolong the life of patients.Early diagnosis of thyroid squamous cell carcinoma is the focus of clinical work.The follow-up and management of thyroid benign tumors should be more aggressive.Surgery is the first choice for treatment,which can be appropriately supplemented by chemoradiotherapy.