摘要
目的 分析分化型甲状腺癌的局部侵犯特点 ,探讨手术方法及疗效。方法 回顾总结本院 1993～ 2 0 0 2年手术治疗的 2 12例分化型甲状腺癌的临床资料。结果 110例 ( 5 1.9% )患者有颈部器官的侵犯 ,接受侵率的高低依次为颈前带状肌、颈段气管、喉返神经、颈段食管等 ,其中 10 4例行根治性手术 ,6例行姑息性手术 ,涉及气管、食管部分切除 4例 ,5年存活率和无瘤生存率分别为 91.6%、84.7%。结论 分化型甲状腺癌晚期可伴有广泛的颈部器官的侵犯 ,大多数可行癌肿根治性切除 ,行气管。
Objective To investigate the clinical characteristics of regional intrusion of differentiated thyroid carcinoma and discuss the surgical treatment.Methods Retrospectively analysis 212 differentiated thyroid cancinoma cases which have been operated in our hospital between 1993 and 2002.Results Regional intrusions were found in 110 (51.9%) cases,the sequence of the organs intruded was muscle,cervical trachea,recurrent laryngeal nerve,cervical esophagus.104 cases were operated radically while 6 cases palliatively,involving 4 cases of resections of trachea or esophagus.5-year-survival rate was 91.6%.5-year-tumor-free rate was 84.7%.Conclusions The advanced differentiated thyroid carcinoma,which may have extensive regional intrusion,could mostly be resected radically.It could have a good result yet while trachea or esophagus resection had been done.
出处
《海南医学》
CAS
2003年第11期6-8,共3页
Hainan Medical Journal
