Voss J, Pietsch P, Krüger M, Groth P, Dabels J, Nagel K H
Zentralbl Chir. 1983;108(3):129-41.
95 cases with primary malignant thyroid tumours underwent surgery from 1965 to 1977. In view of the interdisciplinary character of treatment and independent of histological differentiation, total thyroidectomy should be performed. Differentiated carcinomas should be treated by selective dissection of suspected cervical lymph nodes. Surgical intervention of undifferentiated and medullary carcinomas should be followed by unilateral or bilateral neck-dissection. The survival rate is shown to depend on histological stage and extension of the tumour.
1965年至1977年间，95例原发性甲状腺恶性肿瘤患者接受了手术治疗。鉴于治疗的多学科性质且不考虑组织学分化情况，应行甲状腺全切除术。分化型癌应通过对可疑颈部淋巴结进行选择性清扫来治疗。未分化癌和髓样癌的手术干预后应进行单侧或双侧颈部清扫。生存率显示取决于肿瘤的组织学分期和范围。
