山东大学耳鼻喉眼学报 ›› 2017, Vol. 31 ›› Issue (6): 12-15.doi: 10.6040/j.issn.1673-3770.1.2017.038

• 甲状腺癌的规范化诊断与治疗·专题笔谈 • 上一篇    下一篇

儿童甲状腺癌的规范化诊治

徐书杭1, 李春睿2, 刘超1   

  1. 1. 南京中医药大学附属中西医结合医院内分泌代谢病科/江苏省中医药研究院, 江苏 南京 210028;
    2. 阳光融和医院糖尿病中心内分泌科, 山东 潍坊 261061
  • 收稿日期:2017-10-09 出版日期:2017-12-16 发布日期:2017-12-16
  • 通讯作者: 徐书杭. E-mail: shuhangxu@163.com通讯作者:钟琦. E-mail:zhongqi_ent@126.com

Optimal management of differentiated thyroid carcinoma in children.

XU Shuhang1, LI Chunrui2, LIU Chao1   

  1. 1. Endocrine and Diabetes Center, Affiliated Hospital of Integrated Traditional Chinese and Western Medicine, Nanjing University of Chinese Medicine, Jiangsu Province Academy of Traditional Chinese Medicine, Nanjing 210028, Jiangsu, China;2. Department of Endocrinology and Metabolism, Sunshine Union Hospital, Weifang 261061, Shandong, China
  • Received:2017-10-09 Online:2017-12-16 Published:2017-12-16

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摘要： 儿童甲状腺结节的发病率较成人低,恶性风险较高,但分化型甲状腺癌预后较好。临床鉴别结节的良恶性非常重要,需结合病史、体格检查、实验室检查、影像学检查及细针穿刺细胞学检查等结果进行。儿童甲状腺恶性结节采用甲状腺全切术为首选。术后宜密切随访,并正规实施后续治疗。对甲状腺癌术后的患者,需要定期复查放射碘全身扫描、血清甲状腺球蛋白测定等。

关键词: 儿童, 分化型甲状腺癌, 甲状腺结节

Abstract: Pediatric thyroid masses are rare and their risk of malignancy is high; however, the prognosis of differentiated thyroid carcinoma in children is more favorable. It is important to assess the risk of malignancy based on medical history, physical examination, laboratory tests, imaging tests, and fine needle aspiration cytology. Although the treatment of benign thyroid nodules in children is more conservative, total thyroidectomy is always the first choice for children with thyroid carcinoma. Whole body scans with radioactive iodine should be performed regularly after surgery alongside thyroglobulin determination.

Key words: Differentiated thyroid carcinoma, Child, Thyroid nodules

中图分类号: 

  • R736.1
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