Sniezek Joseph C, Holtel Michael
Tripler Army Medical Center, 1 Jarrett White Road, Honolulu, HI 96859-5000, USA.
Otolaryngol Clin North Am. 2003 Feb;36(1):107-15. doi: 10.1016/s0030-6665(02)00134-2.
Although the vast majority of thyroid cancers are well-differentiated and carry an excellent prognosis, several rare tumors occasionally involve the thyroid gland and require unique treatment paradigms. Anaplastic carcinoma of the thyroid is an extremely aggressive neoplasm that is generally best managed with surgery followed by a multimodality regimen of radiotherapy and chemotherapy. Squamous cell carcinoma of the thyroid often mimics the clinical course of anaplastic carcinoma and is best treated with aggressive surgery followed by postoperative radiotherapy. Treatment and prognosis of lymphoma of the thyroid varies depending upon the specific pathological subtype, with combination chemotherapy and radiation therapy used primarily. Sarcomas of the thyroid are primarily managed with surgery, although radiation and chemotherapy are indicated in some cases.
尽管绝大多数甲状腺癌分化良好,预后极佳,但仍有几种罕见肿瘤偶尔会累及甲状腺,需要独特的治疗模式。甲状腺未分化癌是一种极具侵袭性的肿瘤,通常最好先进行手术,然后采用放疗和化疗的多模式治疗方案。甲状腺鳞状细胞癌的临床病程常与未分化癌相似,最好采用积极的手术治疗,术后进行放疗。甲状腺淋巴瘤的治疗和预后因具体病理亚型而异,主要采用联合化疗和放疗。甲状腺肉瘤主要通过手术治疗,不过在某些情况下也需要放疗和化疗。