分化型甲状腺癌诊断与外科治疗四十年

doi:10.3760/cma.j.cn371439-20200623-00056

摘要/Abstract

摘要：

分化型甲状腺癌(DTC)是甲状腺癌中最常见的类型,大部分患者具有侵袭性低、预后好的特征。随着医学影像学、细针穿刺活检及分子生物学技术的发展,尤其是外科技术的进步,DTC早期诊断率及手术后生存率明显提高。但是对DTC的认识和外科治疗的某些观点仍存在争议。现结合近40年来的变化对DTC的诊断及外科治疗,特别是DTC原发灶及颈淋巴结转移的治疗策略、手术切除范围和适应证等问题进行系统回顾总结,以期为DTC患者提出更加合理精准的个体化诊疗方案。

关键词: 甲状腺肿瘤, 淋巴结切除术, 甲状腺手术

Abstract:

Differentiated thyroid cancer (DTC) is the most common type of thyroid cancer. Most of patients with DTC are characterized by low invasiveness and good prognosis. With the development of medical imaging, fine needle biopsy and molecular biology technology, especially the progress of surgical technology, the early diagnosis rate of DTC and the survival rate after operation are significantly increased. However, the cognition understanding of DTC and some views of surgical treatment are still controversial. A systematic review and summary of the diagnosis and surgical treatment of DTC are made based on the changes in the past 40 years, especially the treatment strategy, surgical resection scope and indications of DTC primary focus and cervical lymph node metastasis, in order to propose a more reasonable and accurate individual diagnosis and treatment plan for patients with DTC.

Key words: Thyroid neoplasms, Lymph node excision, Thyroid surgery

侯小锋, 薛金才, 田尤新, 刘勤江. 分化型甲状腺癌诊断与外科治疗四十年[J]. 国际肿瘤学杂志, 2020, 47(8): 449-456.

Hou Xiaofeng, Xue Jincai, Tian Youxin, Liu Qinjiang. Diagnosis and surgical treatment of differentiated thyroid carcinoma in 40 years[J]. Journal of International Oncology, 2020, 47(8): 449-456.

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