摘要
近年来,甲状腺微小乳头状癌(papillary thyroid microcarcinoma,PTMC)患病率急剧上升。PTMC的规范治疗越来越受到临床医生的关注。目前,PTMC的主要治疗策略包括手术治疗、积极监测、热消融治疗等。手术治疗是甲状腺癌的标准治疗,但PTMC手术的必要性和手术范围尚存在争议。而积极监测和热消融治疗都是基于循证医学证据的新治疗策略,尤其对低危PTMC取得了良好的治疗效果。本文就PTMC的3种治疗策略及国内外共识与争议进行综述,以期提供良好的治疗引导。
In recent years,the prevalence of papillary thyroid microcarcinoma(PTMC) has risen sharply.The standard treatment of PTMC has attracted more and more attention of clinicians.At present,the main treatment strategies for PTMC include surgical treatment,active surveillance,thermal ablation,etc.Surgical treatment is the standard treatment for thyroid cancer,but the necessity and scope of PTMC surgery are still controversial.Active surveillance and thermal ablation therapy are new treatment strategies based on evidence-based medicine,and have achieved good therapeutic effects especially on low-risk PTMC.This article reviews the three treatment strategies of PTMC and their domestic and international consensus and controversies,in order to provide good treatment guidance.
作者
梁凯
胡慧青
崔晨
侯新国
陈丽
Liang Kai;Hu Huiqing;Cui Chen;Hou Xinguo;Chen Li(Department of Endocrinology and Metabolic Diseases,Qilu Hospital of Shandong University,Institute of Endocrine and Metabolic Diseases of Shandong University,Key Laboratory of Endocrine and Metabolic Diseases,Shandong Province Medicine&Health,Jinan Clinical Research Center for Endocrine and Metabolic Diseases,Jinan 250012,China)
出处
《国际内分泌代谢杂志》
2023年第2期100-103,112,共5页
International Journal of Endocrinology and Metabolism
关键词
甲状腺微小乳头状癌
手术治疗
积极监测
热消融治疗
Papillary thyroid microcarcinoma
Surgical treatment
Active surveillance
Thermal ablation
