Valdina E A, Puchkov Iu G
Vopr Onkol. 1976;22(11):89-94.
A clinico-morphological analysis of 157 cases of papillary cancer of the thyroid is made. Depending on the presence and time of appearance of regional metastases three groups of patients are distinguished: I -- regional metastases are the first clinical manifestation of the lesion (87 patients); II -- the lesion starts with the appearance of a node in the gland, regional metastases develop later (50 patients); III -- thyroid tumor without regional metastases (20 patients). The groups sungled out differ reliably in the rate of tumor growth and prognosis. The first group proved to be most favourable with respect to prognosis. A five-year survival in patients of the first group was noted in 92 +/- 3.3%, while 84 +/- 7.4% of patients survived for 10 years and longer. There were no essential differences in the morphological signs in the concerned clinical groups of papillary cancer of the thyroid.
对157例甲状腺乳头状癌病例进行了临床形态学分析。根据区域转移的有无及出现时间，将患者分为三组：I组——区域转移是病变的首发临床表现（87例患者）；II组——病变始于甲状腺内出现结节，区域转移随后发生（50例患者）；III组——无区域转移的甲状腺肿瘤（20例患者）。所分出的各组在肿瘤生长速度和预后方面有显著差异。第一组在预后方面最为有利。第一组患者的五年生存率为92±3.3%，而84±7.4%的患者存活了10年及更长时间。甲状腺乳头状癌相关临床组的形态学特征没有本质差异。
