直径1~4 cm的分化型甲状腺癌的诊治进展

Progress in diagnosis and treatment of differentiated thyroid carcinoma with a tumor diameter of 1 to 4 cm

随着影像技术和病理诊断的发展,分化型甲状腺癌(DTC)的早诊率逐渐增高,但肿瘤直径为1~4 cm的患者仍占所有DTC的30%左右。近年来诊疗指南的更新对DTC诊疗方案影响很大,特别是肿瘤直径为1~4 cm的患者。应根据初始风险评估来制定科学合理的手术方案,并在随访中动态地进行风险评估及时调整患者随访策略,以期达到精准、实时的个体化管理,让越来越多患者在治疗中获益。

With the development of imaging technology and pathological diagnosis,the rate of early diagnosis of differentiated thyroid cancer(DTC)has gradually increased.However,patients with a tumor diameter of 1 to 4 cm still account for about 30%of all DTC cases.In recent years,the update of diagnosis and treatment guidelines has a great impact on the treatment scheme of DTC,especially for patients with a tumor diameter of 1-4 cm.A scientific and reasonable surgical plan should be developed according to the initial risk assessment,the risk assessment should be carried out dynamically in the follow-up,and the follow-up strategy for patients should be adjusted in time,in order to achieve accurate and real-time individualized management,so that more and more patients can benefit from the treatment.