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[目的]探讨甲状腺滤泡状癌的临床诊断、治疗及预后的影响因素。[方法]回顾性分析经病理确诊的甲状腺滤泡状癌患者21例,年龄23~76岁,均进行甲状腺切除术,7例行远处转移病灶切除术,术后均行碘-131(~(131)I)治疗。[结果 ]本组21例甲状腺滤泡状癌随访时间为3~120个月。临床治愈3例,好转12例,3例病情进展,死亡3例。[结论]甲状腺滤泡状癌诊断相对较为困难。确诊甲状腺滤泡状癌应行甲状腺全切除术,甲状腺滤泡癌术后~(131)I治疗安全、有效。
[Objective] To investigate the influencing factors of clinical diagnosis, treatment and prognosis of thyroid follicular carcinoma. [Methods] Twenty-one patients with thyroid follicular carcinoma diagnosed by pathology were retrospectively analyzed. Thyroidectomy was performed in all patients aged 23-76 years and distant metastasis resection was performed in 7 cases. All patients underwent 131I- (131) I) treatment. [Results] This group of 21 cases of thyroid follicular carcinoma was followed up for 3 to 120 months. Clinical cure in 3 cases, improved in 12 cases, 3 cases of disease progression, death in 3 cases. [Conclusion] The diagnosis of thyroid follicular carcinoma is relatively difficult. Confirmed thyroid follicular carcinoma should be performed thyroidectomy, thyroid follicular carcinoma after ~ (131) I treatment is safe and effective.