Napolitano L, Francomano F, Francione T, Napolitano A M
Dipartimento di Scienze Chirurgiche, Università degli Studi G. D'Annunzio, Chieti.
G Chir. 2003 May;24(5):183-5.
The Authors report 5 cases of distant metastases of well-differentiated thyroid carcinoma over a number of 114 patients operated for thyroid neoplasm (4.3%). In 101 pts was total thyrodectomy performed, in 13 pts underwent istmo lobectomy. Distant metastases were verified in 3 patients with follicular and in 2 patients with papillary carcinoma. In 2 cases the metastases were in lungs, in 2 cases are the bone, and in one patient in lungs and bones. In 3 patients istmolobectomy had been performed at first operation. All the patients were treated with radioiodine. Three patients were alive after 3, 5 e 10 years from the diagnosis of metastases, 2 of them are presently disease free.
作者报告了114例接受甲状腺肿瘤手术的患者中有5例发生了高分化甲状腺癌远处转移(4.3%)。101例患者行甲状腺全切除术,13例患者行峡部甲状腺叶切除术。3例滤泡状癌和2例乳头状癌患者出现远处转移。2例转移至肺部,2例转移至骨骼,1例肺部和骨骼均有转移。3例患者首次手术行峡部甲状腺叶切除术。所有患者均接受放射性碘治疗。3例患者自转移诊断后3年、5年和10年仍存活,其中2例目前无疾病。