摘要
目的探讨甲状腺颈淋巴结转移及血行转移的有关因素，提高甲状腺癌的诊断及治疗水平。方法对１９８４年１月～１９９２年１２月收治的２２５例甲状腺癌患者的临床特点、治疗方法及病理结果进行了回顾性分析总结。结果甲状腺癌的淋巴结及血行转移主要与病理类型和肿瘤局部浸润程度有关。乳头状癌、鳞状细胞癌主要表现为区域淋巴结转移，转移率分别为４４７％、３／３，晚期出现血行转移。滤泡状腺癌虽然分化较好，但多表现有血行转移，转移率１８２％。未分化癌淋巴结及血行转移比例均较高为２／３，预后不佳。肿瘤局部浸润程度与转移有关，已侵犯包膜者，颈淋巴结转移率相应提高，达４９４％；而未侵犯包膜者，则转移率较低，为２３９％。结论根据甲状腺癌的不同病理类型及局部浸润程度采取正确的治疗方法，有助于提高甲状腺癌的治疗水平。
Objective To evaluat the relevant factors for lymph cervical node metastases and blood metastases of thyroid cancer and to raise the level of diagnosis and treatment. Methods 225 cases of thyroid cancer were treated from Jan. 1984 to Dec. 1992. Their clinical characteristics, treatment, and pathologic features were described. Results The metastasis of thyroid cancer was related to its pathyologic and invasive features. Papillary and squmous cell crcinomas were characterized by local lymph metastasis. Their metastasis rate was 44.7%, and 3/3 respectively.Follicular carcinoma showed good differentiation but vessel metastas is with a metastatic rate of 18.2%.The metastasis rate was high and the prognostis poor, in undifferentiated cancer. Conclusions Better treatment results may be achieved if proper management of thyorid cancer is based on its pathologic type and extent of local infiltration.
出处
《中华外科杂志》
CAS
CSCD
北大核心
1999年第2期89-90,共2页
Chinese Journal of Surgery
