Kühne W, Willgeroth C
Institut für Pathologische Anatomie, Medizinischen Akademie Magdeburg.
Zentralbl Chir. 1990;115(1):15-22.
Differentiated thyroid carcinomas (follicular and papillary) were found to differ, for several biological behaviours, from carcinomas of other organs and even from anaplastic carcinomas of the thyroid. These peculiarities are quite often morphologically characterised by mature, organ-like histological appearances, long-time encapsulation from adjacent thyroid tissue, and delayed metastasation. Proper judgement of need for surgery and operability, consequently, can be quite difficult. Any tumour, therefore, should be individually assessed, and caution may be appropriate when it comes to therapeutic decision-making. These tumours are briefly typed in this paper by their histological patterns. The unique nature is mentioned of follicular and papillary carcinomas. Reference is made to factors of relevance to prognosis.
分化型甲状腺癌(滤泡状癌和乳头状癌)在多种生物学行为方面与其他器官的癌症甚至甲状腺未分化癌有所不同。这些特性在形态学上常常表现为成熟的、类似器官的组织学外观、长时间与相邻甲状腺组织包膜分离以及转移延迟。因此,正确判断手术需求和可切除性可能相当困难。所以,任何肿瘤都应进行个体评估,在治疗决策时谨慎行事可能是恰当的。本文根据组织学模式对这些肿瘤进行了简要分类。文中提到了滤泡状癌和乳头状癌的独特性质。还提及了与预后相关的因素。