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本文分析外科手术不能切除所有明显癌肿(由于远处转移、广泛的不能切除的颈部癌或切除后仍有癌肿残留)的97例分化良好型甲状腺癌患者,旨在确定影响患者生存的某些因素及其对治疗的影响。本研究基于作者以前的一些报道,(?)40岁男性或(?)50岁女性患者为本病致死低危组,老年患者为致死高危组。对96例作了5～27年的随访研究。17例远处转移癌中,低危组致死者占40％,高危组占92％。80例颈部癌不能切除或切除后残留癌中,低危组致死者仅占13％,高危组则占71％。37例癌侵及气管者中,因颈部癌不能切除者和转移癌者,低危组死亡3％,而高危组分别占26％和31％。
This paper analyzes 97 patients with well-differentiated thyroid cancer who were not able to remove all significant cancers due to surgery (due to distant metastasis, extensive unresectable neck cancer, or residual cancer after resection) in order to determine the impact on survival of patients. Some factors and their effect on treatment. This study was based on the author’s previous reports that a 40-year-old male or (?) 50-year-old female patient was a low-risk group for this disease and an elderly patient was a lethal high-risk group. Ninety-six cases were followed up for 5-27 years. Of the 17 distant metastatic cancers, the low-risk group accounted for 40% of the deaths and the high-risk group accounted for 92%. In 80 cases of neck cancer with unresectable or residual cancer after resection, the low-risk group accounted for only 13% of the deaths, while the high-risk group accounted for 71%. In 37 cases of cancer invasion and trachea, 3% of the low-risk group died due to unresectable neck cancer and metastatic cancer, while the high-risk group accounted for 26% and 31%, respectively.