Cox Amy E, LeBeau Shane O
Division of Endocrinology and Metabolism, University of Pittsburgh Medical Center, 200 Lothrop Street, E 1140 BST, Pittsburgh, PA 15261, USA.
Radiol Clin North Am. 2011 May;49(3):453-62, vi. doi: 10.1016/j.rcl.2011.02.006.
Thyroid cancer is the most common endocrine malignancy. Historically, the diagnosis has been made via fine-needle aspiration cytology; however, molecular marker analysis, particularly in indeterminate specimens, is beginning to play a more prominent role. Once the diagnosis of thyroid cancer is established, patients should undergo preoperative ultrasound evaluation followed by appropriate surgical resection, radioiodine ablation, and thyrotropin suppression. After the initial treatment, patients must be monitored regularly for recurrent disease utilizing clinical examination, thyroglobulin measurement, and radiological imaging.
甲状腺癌是最常见的内分泌系统恶性肿瘤。从历史上看，诊断是通过细针穿刺细胞学检查做出的；然而，分子标志物分析，尤其是在不确定的标本中，正开始发挥更突出的作用。一旦确诊为甲状腺癌，患者应接受术前超声评估，随后进行适当的手术切除、放射性碘消融和促甲状腺激素抑制治疗。初始治疗后，必须利用临床检查、甲状腺球蛋白测量和影像学检查对患者进行定期监测，以发现复发性疾病。
