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目前对甲状腺癌的手术治疗方法存在分歧意见。近五年来(1956—1961),本院手术治疗甲状腺癌共45例,包括乳头状癌38例、滤泡状癌5例及未分化癌2例。女性27例,男性18例。年龄自22—65岁,其中以30—39岁者最多,占44%。随访至1961年底者44例,占98%。45例中28例为初次治疗者,另17例已在他院行甲状腺切除术。此17例中11例入院后再行腺叶切除。除病灶位于峡部或患者拒绝外,共行根治性颈淋巴结清除术37人次(包括1例双侧手术)。本文就以上资料讨论初步体会。
There are currently divergent opinions on the surgical treatment of thyroid cancer. In the past five years (1956-1961), there were 45 cases of thyroid cancer treated by our hospital, including 38 cases of papillary carcinoma, 5 cases of follicular carcinoma, and 2 cases of undifferentiated carcinoma. There were 27 females and 18 males. The age ranged from 22 to 65 years old, with the largest number being 30-39 years old, accounting for 44%. Follow-up to the end of 1961 were 44 cases, accounting for 98%. Of the 45 patients, 28 were primary treatment and the other 17 had been treated with thyroidectomy at his institution. Eleven of these 17 cases were resectioned after admission. In addition to the lesion located at the isthmus or the patient refused, a total of 37 patients (including 1 bilateral operation) were undergone radical neck dissection. This article discusses preliminary understanding of the above information.