首次打击是晚期分化型甲状腺癌的最佳打击吗？
First Hit the Best Hit for Advanced Differentiated Papillary Thyroid Carcinoma?
作者信息
Varghese Bipin T
机构信息
Head and Neck Surgery, Department of Surgical Services, Regional Cancer Centre, Thiruvananthapuram, 695011 Kerala India.
出版信息
Indian J Surg Oncol. 2024 Dec;15(4):918-919. doi: 10.1007/s13193-024-01983-1. Epub 2024 Jun 15.
Abstract
Optimal upfront surgery with precise and objective image mapping is perhaps the way to go to enhance treatment outcomes and mitigate the use of post-operative radioiodine therapy. With the advent of targeted agents and precision medicine, it is now possible to undertake surgery for very advanced or inoperable differentiated thyroid cancers, followed by appropriate adjuvant treatment.
摘要
采用精确且客观的图像映射进行最佳的初始手术，或许是提高治疗效果并减少术后放射性碘治疗使用的方法。随着靶向药物和精准医学的出现，现在对于非常晚期或无法手术的分化型甲状腺癌也可以先进行手术，然后进行适当的辅助治疗。
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本文引用的文献
1
Return of Vocal Fold Motion and Surgical Preservation of Invaded Recurrent Laryngeal Nerves After the Use of Neoadjuvant Therapy in Patients Presenting with Advanced Thyroid Cancer and Vocal Fold Paralysis: The Lazarus Effect.新辅助治疗后晚期甲状腺癌伴声带麻痹患者声带运动恢复及受侵喉返神经的手术保留：拉撒路效应
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2
Papillary thyroid carcinoma nodal surgery directed by a preoperative radiographic map utilizing CT scan and ultrasound in all primary and reoperative patients.所有初诊和再次手术的患者均行术前 CT 扫描和超声制定的放射性核素图指导的甲状腺乳头状癌颈部淋巴结清扫术。
Head Neck. 2014 Feb;36(2):191-202. doi: 10.1002/hed.23277. Epub 2013 Apr 2.
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