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[甲状腺肿瘤的治疗及拟议的治疗方案]

[Treatment of thyroid neoplasms and proposed therapeutic plan].

作者信息

Paolucci R, La Torre P, Salcuni P F, Foggi E, Vitali M

出版信息

Ateneo Parmense Acta Biomed. 1977;48(5):483-97.

PMID:614040
Abstract

Thirty-seven patients with thyroid cancer were treated at 1a Clinica Chirurgica of Parma between 1962 and 1970. Fourty-five per cent of tumors were papillary, 24 per cent follicular, 2 per cent medullary, 9 per cent anaplastic. Surgery combined with ormonal therapy formed the commonest treatment. Eighty-five per cent of the patients with papillary carcinoma 70 per cent with follicular and 33,3 per cent with anaplastic carcinoma survived for 10 years. This present series indicates that total thiroidectomy combined with ormonal therapy influences the survival time, confirms the prognostic value of histology and shows that papillary node metastases do not prejudice survival.

摘要

1962年至1970年间,帕尔马第一外科诊所对37例甲状腺癌患者进行了治疗。45%的肿瘤为乳头状癌,24%为滤泡状癌,2%为髓样癌,9%为未分化癌。手术联合激素治疗是最常见的治疗方法。85%的乳头状癌患者、70%的滤泡状癌患者和33.3%的未分化癌患者存活了10年。本系列研究表明,全甲状腺切除术联合激素治疗会影响生存时间,证实了组织学的预后价值,并表明乳头状淋巴结转移不影响生存。

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