摘要
近年来,由于高分辨率超声及细针穿刺抽吸细胞学检查被广泛应用于临床,分化型甲状腺癌(DTC)的检出率显著增加。颈部淋巴结转移(CLNM)是DTC患者术后出现持续性和(或)复发性疾病的最常见类型,其诊疗涉及众多学科。目前诊断CLNM最常用的方法为颈部超声,“金标准”是组织病理学检查,主要的治疗方法仍是手术,131I治疗、超声引导下的消融术治疗及随访观察等代替手术的治疗手段亦逐渐被提出并应用于临床。笔者就DTC术后持续性和(或)复发性CLNM的诊疗作一综述。
In recent years,the detection rate of differentiated thyroid cancer(DTC)has increased significantly due to the wide application of high-resolution ultrasonography and fine needle aspiration biopsy.Cervical lymph nodes metastases(CLNM)is the most common type of postoperative persistent/recurrent disease in DTC patients,and its diagnosis and treatment involve multiple disciplines.At present,the most common diagnostic method and the"gold standard"is cervical ultrasound and histopathological examination respectively.The main treatment is operation.In addition,some alternative treatments such as 131I therapy,ultrasound-guided ablation and follow-up observation have gradually been proposed and applied in clinical practice.The authors review the diagnosis and treatment of postoperative persistent/recurrent CLNM in DTC patients.
作者
张静
陈畅
杨仪
章斌
Zhang Jing;Chen Chang;Yang Yi;Zhang Bin(Department of Nuclear Medicine,the First Affiliated Hospital of Soochow University,Suzhou 215006,China;Department of Nuclear Medicine,Suzhou Science&Technology Town Hospital,Suzhou 215153,China)
出处
《国际放射医学核医学杂志》
2022年第11期692-696,共5页
International Journal of Radiation Medicine and Nuclear Medicine
关键词
分化型甲状腺癌
淋巴结转移
复发
诊断
治疗
持续
Differentiated thyroid cancer
Lymph nodes metastases
Recurrence
Diagnosis
Therapy
Persistent
