摘要
目的 提高双侧同步性甲状腺癌的认识和诊治水平。方法 收集本院 15例双侧同步性甲状腺癌的临床资料。术前针吸细胞学检查确诊 1例 ,术中冰冻病理确诊 14例。全部病例行全甲状腺切除术。行一侧功能性颈清扫术 4例 ,双侧颈清扫术 8例 ,其中双侧功能性颈清扫术 6例。结果 15例随访2～ 13年 ,平均 5年 6个月 ,死亡 1例 ,14例无瘤生存。术后无永久性甲状旁腺功能减退和喉返神经麻痹。结论 双侧同步性甲状腺癌术前确诊困难 ,主张术中行冰冻切片检查。该病为多发癌 ,主张行全甲状腺切除术 ,如术前发现颈部淋巴结肿大 ,应同时行颈清扫术。对N0 患者不必常规行颈清扫术 ,提倡长期密切观察。
Objective To improve the diagnosis and treatment of synchronous bilateral thyroid carcinoma(SBTC).Methods The diagnosis and treatment of 15 patients with SBTC were analysed. The diagnosis was comfirmed by needle aspiration biopsy in 1 case preoperatively, by frozen section in 14 cases intraoperatively. Total thyroidectomy was performed in all patients. Unilateral functional neck dissection was performed in 4 caces, bilateral neck dissection in 8 cases.Results Fifteen patients were followedup for 2～13 years(average 5 years and 6 months). Only 1 case died, 14 cases were alive without cancer. There was no hypoparathyroidism and recurrent nerve paralysis in this group.Conclusion The diagnosis of SBTC is difficult before operation. Intraoperative frozen section should be done to make the diagnosis. SBTC is multifocal and the choice of surgery is total thyroidectomy. Neck dissection should be done if there is lymph nodes involvement. Selective neck dissection is not necessary for N 0 cases.
出处
《陕西肿瘤医学》
2002年第3期175-176,共2页
ShanXi Oncology Medicine
