Chifan M, Strat V, Tîrcoveanu E, Niculescu D, Bordea M, Georgescu S, Zbranca E, Dobrescu G, Florea N, Baran T
Clinica I-a chirurgie, Institutul de Medicină şi Farmacie Iaşi.
Rev Med Chir Soc Med Nat Iasi. 1990 Jan-Mar;94(1):109-12.
In the interval 1979-1988, out of 1070 operated goiters 77 malignant thyroid tumors were recorded, 60 of them being differentiated: papillary--32 (53.4%), vesicular--12 (20%), mixed forms--16 (26.7%). The differentiated thyroid carcinomas had peculiar clinical biological and prognostic features and were framed: stage I--60%, stage II--23.4% and state III-IV--16.6%. Only 15 cases presented lymph node metastases. In 16 cases the thyroid tumor was associated with another thyropathy: Hashimoto's thyroiditis--5 cases, Basedow's disease--1 case. The surgical intervention was performed in two times: first total lobectomy or total lobo-isthmectomy [correction of lobioistectomy] with contralateral subtotal exeresis, then total thyroidectomy. It is insisted upon a careful surveillance of postoperative evolution (clinical, biological, scintigraphy) in order to detect the recurrence and apply a proper treatment.
在1979年至1988年期间，1070例接受手术的甲状腺肿中，记录到77例甲状腺恶性肿瘤，其中60例为分化型：乳头状癌32例（53.4%），滤泡状癌12例（20%），混合型16例（26.7%）。分化型甲状腺癌具有独特的临床生物学和预后特征，分期情况如下：I期占60%，II期占23.4%，III - IV期占16.6%。仅有15例出现淋巴结转移。16例甲状腺肿瘤合并有其他甲状腺疾病：桥本甲状腺炎5例，突眼性甲状腺肿1例。手术分两步进行：首先行全叶切除术或全叶 - 峡部切除术[纠正为叶 - 峡部切除术]及对侧次全切除术，然后行全甲状腺切除术。强调要对术后病情演变（临床、生物学、闪烁扫描）进行仔细监测，以便发现复发并采取适当治疗措施。
