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分化型甲状腺癌,包括甲状腺乳头状癌(papillary thyroid carcinoma,PTC)、甲状腺滤泡状癌(follicular thyroid carcinoma,FTC)以及Hürthle细胞癌,占所有甲状腺癌的90%,在世界各地文献报道中有增高趋势〔1-2〕。主要治疗方式是外科治疗,但有关手术的范围特别是在腺叶切除还是甲状腺全切除上存在学术差异和分歧。在临床工作中,只有领会并遵循NCCN甲状腺癌治疗指南,平衡医生、患者及肿瘤三因素的关系,才能正确处理甲状腺癌。
Differentiated thyroid carcinomas, including papillary thyroid carcinoma (PTC), follicular thyroid carcinoma (FTC), and Hürthle cell carcinoma, account for 90% of all thyroid carcinomas and are reported in the literature worldwide Increasing trend 〔1-2〕. The main treatment is surgical treatment, but the scope of the surgery, especially in the thyroidectomy or thyroidectomy there are academic differences and differences. In clinical work, only to understand and follow the NCCN guidelines for the treatment of thyroid cancer, balance doctors, patients and tumor three factors in order to correctly handle thyroid cancer.