Zhang Ling, Guo Zhi, Wang Yu-Long, Ji Qing-Hai
Department of Head and Neck Surgery, Cancer Hospital, Fudan University, Shanghai 200032, China.
Zhonghua Wai Ke Za Zhi. 2007 Apr 1;45(7):467-9.
To investigate the clinical features, treatment and prognosis of the young adult papillary thyroid cancer with bilateral cervical lymph nodes metastases.
Twenty-four papillary thyroid cancer patients (mean age 16.6 year-old, range 11 to 20 year-old) with bilateral cervical metastases from January 1, 1970 to December 31, 1985 were analyzed.
The proportion of the patients in the contemporary patients of the corresponding period was 34.8% (24/69). All the patients in the group were followed up at least 20 years. The survival rates of the patients at 10 years and 20 years were 100% and 90.9%. The recurrence rates of local tumor and distant tumor (lung metastases) were 20.8% (5/24) and 12.5% (3/24).
After a radical surgery, the recurrence rate of young adult thyroid papillary cancer patients with bilateral cervical metastases is relatively high and the patients have well prognosis.
探讨青年成人双侧颈部淋巴结转移的甲状腺乳头状癌的临床特征、治疗及预后。
分析1970年1月1日至1985年12月31日期间24例双侧颈部转移的甲状腺乳头状癌患者（平均年龄16.6岁，范围11至20岁）。
同期当代患者中该组患者所占比例为34.8%（24/69）。该组所有患者均至少随访20年。患者10年和20年生存率分别为100%和90.9%。局部肿瘤和远处肿瘤（肺转移）的复发率分别为20.8%（5/24）和12.5%（3/24）。
根治性手术后，青年成人双侧颈部转移的甲状腺乳头状癌患者复发率相对较高，但预后良好。
