甲状腺癌的外科治疗分析

山东大学耳鼻喉眼学报 ›› 2010, Vol. 24 ›› Issue (4): 10-12.

甲状腺癌的外科治疗分析

伊海金1，张宝泉2

1.中国医学科学院首都医科大学附属北京天坛医院耳鼻咽喉科，北京 100050；
2.中国协和医科大学中国医学科学院附属北京协和医院耳鼻咽喉头颈外科，北京 100730

收稿日期:2010-03-13 修回日期:2010-06-13 出版日期:2010-08-16 发布日期:2010-08-16
通讯作者: 张宝泉。
作者简介:伊海金（1975- ），男,主治医师,主要从事头颈颅底外科方面的临床工作。 Email: nanshanju@tom.com

Surgical treatment of thyroid cancer

YI Hai-jin1, Zhang Bao-quan2

1. Department of otolaryngealhead and neck surgery, Beijing Tiantan Hospital, Chinese Academy of Medical Sciences, Capital Medical University, Beijing 100050， China;
2. Department of otolaryngealhead and neck surgery, Peking Union Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing 100730， China

Received:2010-03-13 Revised:2010-06-13 Online:2010-08-16 Published:2010-08-16

摘要/Abstract

摘要：

目的探讨甲状腺癌的外科治疗相关问题。方法对28例经手术治疗的甲状腺癌患者的临床资料进行回顾性分析。结果术中常规快速冰冻切片病理诊断，术后常规病理切片确诊，术中、术后病理不符2例；乳头状癌22例，滤泡状癌2例，淋巴瘤1例，乳头状癌合并低分化癌1例，髓样癌1例，小细胞癌1例；扩大甲状腺全切2例，甲状腺全切8例，腺叶加峡部切除10例，一侧腺叶、峡部加对侧腺叶大部切除术7例，肿物局部切除1例；双侧颈清术5例，单侧颈清术6例。本组无手术死亡,术后新发现声嘶1例,出现抽搐2例。甲状腺全切者常规甲状腺素替代治疗。结论术中冰冻切片病理检查有助于甲状腺癌的诊断和术式选择；病理类型、癌肿侵犯范围是决定手术范围的重要因素。

关键词: 甲状腺癌;外科手术

Abstract:

Objective To explore the relative problem of thyroid cancer on surgical treatment. Methods 28 patients were diagnosed both on intraoperation frozen section and postoperation paraffin section. Results the result of two patients differed on intraoperation and postoperation pathology; 22 were papillary carcinoma, 3 were follicular carcinoma, 1 were papillary carcinoma and pooly differentiated carcinoma, 1 were malignant lymphoma, 1 were medullar carcinoma, 1 were small cell cancer. About the operation patterns, 2 were enlarged total thyroidectomy, 8 were total thyroidectomy, 10 were unilateral lobectomy plus isthmectomy, the lobe、 isthmus and the other patial lobe were resected in 7 patients, the tumor were resected locally in 1 patient; 5 were bilateral cervical node dissection, 6 were unilateral cervical node dissection. There was no dead case,1 were newly found hoarseness due to vocal cord paralysis, 2 were tic due to hypocalcemia. Conclusion Intraoperation frozen section was helpful to the diagnosis and operation of thyroid cancer.The pathology and extent of the cancer is important factor to decide the opration pattern.

Key words: Thyroid cance; Surgical opration

中图分类号:

R736.1

伊海金1，张宝泉2. 甲状腺癌的外科治疗分析[J]. 山东大学耳鼻喉眼学报, 2010, 24(4): 10-12.

YI Hai-jin1, Zhang Bao-quan2. Surgical treatment of thyroid cancer[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2010, 24(4): 10-12.

参考文献

相关文章 6

[1]	柴吉鑫,贺青卿,庄大勇,郑鲁明,周鹏. 甲状腺乳头状微小癌癌基因和肿瘤标志物研究进展[J]. 山东大学耳鼻喉眼学报, 2012, 26(4): 82-86.
[2]	王欣如1，2，刘志艳3，李丽珍1，黄涛2，夏斌4，李芳邻1，2. TGF-β1G-800A、C-509T单核苷酸基因多态性与甲状腺乳头状癌易感性的关系[J]. 山东大学耳鼻喉眼学报, 2012, 26(3): 28-32.
[3]	孙臻峰，张佳，徐宏鸣，王果，董频. 甲状腺微小癌的诊断与处理[J]. 山东大学耳鼻喉眼学报, 2012, 26(1): 44-45.
[4]	范林军1,明佳1,黄定德2，范子义1, 赵德龙3,张毅1,杨新华1,姜军1. 腔镜甲状腺近全切除序贯131I消融治疗分化型甲状腺癌[J]. 山东大学耳鼻喉眼学报, 2011, 25(5): 11-16.
[5]	陈伟雄王跃建曾勇何发尧张剑利郑立岗汤苏成. 胸骨上小切口无注气内镜甲状腺手术的临床体会[J]. 山东大学耳鼻喉眼学报, 2009, 23(4): 24-26.
[6]	曾冬前，项俊，陈禹武，顾东胜，王天生. 甲状腺手术美观性技巧改进[J]. 山东大学耳鼻喉眼学报, 2009, 23(3): 23-24.

多维度评价

Viewed

Full text

Abstract

Cited

Shared

Discussed