文档介绍：15例双侧分化型甲状腺癌治疗分析
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作者:张家新,曹苏生,王伟,刘军,鹿存涛
【摘要】目的探讨双侧分化型甲状腺癌的手术方式及综合治疗。方法回顾经治的15例双侧分化型甲状腺癌患者的病例资料,15例行甲状腺全切术,9例同时行两侧改良颈清扫,6例行一侧改良颈清扫,3例二期行对侧颈淋巴结改良清扫术。15例患者行2~7次131Ⅰ放疗。结果 13例未出现复发转移,1例肺转移,1例颈部复发伴有肺部转移。结论甲状腺全切加上有淋巴结转移侧的改良颈清扫配合131Ⅰ放疗是治疗双侧分化型甲状腺癌的可行方法。
【关键词】甲状腺癌,双侧;手术;疗效
Abstract: Objective To investigate the operation modes prehensive treatment of bilateral differentiated thyroid carcinoma. Methods The clinical data of 15 patients of differentiated thyroid carcinoma were reviewed retrospectively. Apart from total thyroidectomy in all the cases, 9 cases underwent bilateral modified radical neck dissection and 6 cases underwent unilateral modified radical neck dissection simultaneously and 3 cases underwent second-stage contralateral modified radical neck dissection. All the patients were administered postoperative radioiodine 131
Ⅰ therapy for 2-7 times. Results Postoperative follow-up of 2 to 5 years showed that there was no recurrence or metastasis in 13 patients, 1 case was found to have lung metastasis and 1 case had neck recurrence and lung metastasis. Conclusion Total thyroidectomy plus modified radical neck dissection in lymphatic metastasis bination with postoperative radioiodine 131Ⅰ therapy proves to be a practicable method in the treatment of bilateral differentiated thyroid carcinoma.
Key words: bilateral differentiate