Wey W, Heitz P U, Müller-Brand J, Staub J J
HNO. 1985 Sep;33(9):385-94.
In the Alpine countries of Switzerland and Austria iodized salt prophylaxis has greatly reduced the incidence of disease of the thyroid gland and substantially altered the pattern of malignant goitre: the previously dominant follicular carcinoma has diminished in number whereas there has been a corresponding increase in the papillary type. The number of highly malignant tumours has dwindled quite markedly within a few decades. Improved preoperative diagnosis and broader indications for surgery have been instrumental in causing most thyroid carcinomas to be treated today at an early stage. In papillary and follicular carcinomas cure rates are very gratifying if optimal advantage is taken of present strategies of treatment and aftercare. The otorhinolaryngologist should familiarize himself with modern thyroid medicine. He must realize first and foremost that thyroid malignancy today presents with much milder symptoms than the older medical literature led him to believe. Thyroid carcinoma is by no means rare in our outpatient departments.
在瑞士和奥地利等阿尔卑斯山区国家，碘盐预防措施已大大降低了甲状腺疾病的发病率，并显著改变了恶性甲状腺肿的模式：先前占主导地位的滤泡癌数量减少，而乳头状癌的数量相应增加。在几十年内，高恶性肿瘤的数量已明显减少。术前诊断的改善和更广泛的手术指征有助于使大多数甲状腺癌如今能在早期得到治疗。对于乳头状癌和滤泡癌，如果能充分利用当前的治疗和术后护理策略，治愈率会非常令人满意。耳鼻喉科医生应该熟悉现代甲状腺医学。他首先必须认识到，如今甲状腺恶性肿瘤的症状比旧医学文献让他相信的要轻得多。甲状腺癌在我们的门诊部绝不少见。
