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目的 :探讨晚期甲状腺癌局部侵犯的临床特点。方法 :回顾分析 1988年 1月至 2 0 0 1年 10月收治的 2 5例晚期甲状腺癌患者的临床资料 ,其中 16例为原发性肿瘤 ,9例为复发癌。结果 :晚期甲状腺癌累及颈部组织的顺序为颈段气管、喉返神经、颈段食管、喉、颈内静脉及胸锁乳突肌等。 2 1例喉气管受累 (84 .0 % ) ,14例病理证实存在肿瘤转移。结论 :晚期甲状腺癌治疗对喉、气管受累及颈淋巴结转移的处理是必须要考虑的问题
Objective: To investigate the clinical features of locally advanced thyroid carcinoma. Methods: The clinical data of 25 patients with advanced thyroid cancer admitted from January 1988 to October 2001 were retrospectively analyzed. Among them, 16 were primary tumors and 9 were recurrence cancer. Results: Late thyroid cancer involving the neck tissue of the order of the trachea, the recurrent laryngeal nerve, cervical esophagus, throat, internal jugular vein and sternocleidomastoid muscle. Twenty-one laryngeal trachea were involved (84.0%), and 14 pathologically confirmed tumor metastases. Conclusions: The treatment of advanced thyroid cancer on the throat, trachea involvement and cervical lymph node metastasis is a must to consider