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目的探讨青少年甲状腺乳头状癌双颈转移患者的临床特点、治疗方法及预后。方法回顾性分析1970年1月1日至1985年12月31日收治的24例青少年甲状腺乳头状癌双颈淋巴结转移患者的临床资料。结果该组青少年患者占该科同期收治同年龄段甲状腺乳头状癌患者的34.8%(24/69),随访时间均在20年以上,10年和20年生存率分别为100%和90.9%。局部肿瘤复发率20.8%(5/24),肺转移率12.5%(3/24)。结论青少年甲状腺乳头状癌双颈淋巴结转移患者尽管有较高的复发率,但在根治性手术治疗的基础上,预后很好。
Objective To investigate the clinical features, treatment and prognosis of juvenile papillary thyroid carcinoma patients with bilateral neck metastasis. Methods The clinical data of 24 cases of adolescent thyroid papillary carcinoma with bilateral cervical lymph node metastasis admitted from January 1, 1970 to December 31, 1985 were retrospectively analyzed. Results The adolescents accounted for 34.8% (24/69) of patients with papillary thyroid carcinoma of the same age in the same period. The follow-up time was more than 20 years. The 10-year and 20-year survival rates were 100% and 90.9% respectively. Local tumor recurrence rate was 20.8% (5/24), lung metastasis rate 12.5% (3/24). Conclusions Although there is a high relapse rate in adolescent thyroid papillary carcinoma with bilateral cervical lymph node metastasis, the prognosis is good on the basis of radical surgical treatment.