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低危甲状腺微小乳头状癌术前评估与预后相关因素的研究进展 被引量:1

Research progress in preoperative evaluation and prognostic related factors of low-risk papillary thyroid microcarcinoma
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摘要 甲状腺微小乳头状癌(PTMC)指直径≤10 mm的甲状腺乳头状癌(PTC),是甲状腺癌中最常见的组织学亚型,其发病率在世界范围内呈逐年升高趋势,对于PTMC的诊治热点和争议较多。大部分PTMC进展缓慢,相对惰性,死亡率低,患者整体预后较好,然而仍有少部分并非倾向于不进展的亚临床状态,晚期PTC均由PTMC进展而来。PTMC患者的治疗日益精准,低危PTMC患者除了行常规的手术治疗之外,还可以选择积极监测(AS)或射频消融治疗作为替代疗法,治疗方案的确定基于术前对患者预后的评估。对于PTMC预后判断的金标准是术后石蜡病理检查结果,术前临床因素与PTMC不良预后结局(甲状腺外侵犯、淋巴结转移、远处转移和肿瘤复发)有关,现对近年来有关患者术前基本信息和临床特征(年龄、性别和病灶局部特征)以及相关辅助检查(超声等影像学检查、实验室检查和穿刺细胞学检查及分子生物学检测)与预后关系的研究进行综述,为外科医生术前评估患者预后风险提供参考,为患者选择个体化的精准治疗方案提供依据。
作者 沈珂羽 付晶瑶 肖思齐 吴宪吉 张广 SHEN Keyu;FU Jingyao;XIAO Siqi
出处 《吉林大学学报(医学版)》 CAS CSCD 北大核心 2022年第6期1650-1656,共7页 Journal of Jilin University:Medicine Edition
基金 吉林省教育厅科研项目(JJKH20201055KJ)。
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  • 1ZHURui-sen YUYong-li LUHan-kui LUOQuan-yong CHENLi-bo.Clinical study of 312 cases with matastatic differentiated thyroid cancer treated with large doses of ^(131)I[J].Chinese Medical Journal,2005(5):425-428. 被引量:10
  • 2American Thyroid Association (ATA) Guidelines Taskforce on Thy- roid Nodules and Differentiated Thyroid Cancer, Cooper DS, Doherty GM, et al. Revised American thyroid association manage- ment guidelines for patients with thyroid nodules and differentiat- ed thyroid cancer[J]. Thyroid, 2009, 19(11):1167-1214.
  • 3Haugen BR, Alexander EK, Bible KC, et al. 2015 American thyroid as- sociation management guidelines for adult patients with thyroid nodules and differentiated thyroid cancer: the American thyroid as- sociation guidelines task force on thyroid nodules and differentiat- ed thyroid cancer[J]. Thyroid, 2016, 26(1):1-133.
  • 4Tuttle RM, Haddad RI, Ball DW, et al. Thyroid carcinoma, version 2.2014[J]. J Natl Compr Canc Netw, 2014, 12(12):1671-1680.
  • 5Xing MZ. Molecular pathogenesis and mechanisms of thyroid can- cer[J]. Nat Rev Cancer, 2013, 13(3):184-199.
  • 6De Biase D, Gandolfi G, Ragazzi M, et al. TERT promoter mutations in papillary thyroid microcarcinomas[J]. Thyroid, 2015, 25(9):1013- 1019.
  • 7Ito Y, Miyauchi A, Inoue H, et al. An observational trial for papillary thyroid microcarcinoma in Japanese patients[J]. World J Surg, 2010, 34(1):28-35.
  • 8Ito Y, Uruno T, Nakano K, et al. An observation trial without surgical treatment in patients with papillary microcarcinoma of the thyroid [J]. Thyroid, 2003, 13(4):381-387.
  • 9Xing M, Alzahrani AS, Carson KA, et al. Association between BRAF V600E mutation and recurrence of papillary thyroid cancer[J]. J Clin Oncol, 2015, 33(1):42-50.
  • 10Jiang LH, Chen C, Tan Z, et al. Clinical characteristics related to central lymph node metastasis in cN0 papillary thyroid carcinoma: a retro- spective study of 916 patients[J]. Int J Endocrinol, 2014, 2014:385787.

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