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高分化甲状腺癌的管理

Management of well-differentiated thyroid cancer.

作者信息

Liao Selena, Shindo Maisie

机构信息

Department of Otolaryngology - Head and Neck Surgery, Oregon Health and Sciences University, 3181 Southwest Sam Jackson Park Road, SJH01, Portland, OR 97239, USA.

出版信息

Otolaryngol Clin North Am. 2012 Oct;45(5):1163-79. doi: 10.1016/j.otc.2012.06.015. Epub 2012 Jul 28.

Abstract

This review provides an overview of current guideline recommendations for the clinical evaluation and surgical management of well-differentiated thyroid cancer, and further examines the evidence for controversial topics such as the minimum degree of primary resection, the role of elective central neck dissection, and the extent of lateral neck dissection. Well-differentiated thyroid cancer comprises the majority of thyroid cancers, about 90%, and includes both papillary and follicular carcinomas. Despite convergence of the medical community in establishing treatment guidelines under the American Thyroid Association, there still remain many areas of disagreement.

摘要

本综述概述了目前关于分化型甲状腺癌临床评估和外科治疗的指南建议,并进一步探讨了一些有争议话题的证据,如原发灶切除的最小范围、选择性中央区淋巴结清扫的作用以及侧颈淋巴结清扫的范围。分化型甲状腺癌约占甲状腺癌的90%,包括乳头状癌和滤泡状癌。尽管医学界在美国甲状腺协会制定治疗指南方面已达成共识,但仍存在许多分歧领域。

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