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青年成人甲状腺乳头状癌双侧颈部转移患者的临床分析

[Clinical analysis of young adult thyroid papillary cancer patients with bilateral cervical metastases].

作者信息

Zhang Ling, Guo Zhi, Wang Yu-Long, Ji Qing-Hai

机构信息

Department of Head and Neck Surgery, Cancer Hospital, Fudan University, Shanghai 200032, China.

出版信息

Zhonghua Wai Ke Za Zhi. 2007 Apr 1;45(7):467-9.

Abstract

OBJECTIVE

To investigate the clinical features, treatment and prognosis of the young adult papillary thyroid cancer with bilateral cervical lymph nodes metastases.

METHODS

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.

RESULTS

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).

CONCLUSION

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.

摘要

目的

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。

方法

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)。

结果

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)。

结论

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。

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