甲状腺乳头状癌和滤泡状癌的手术治疗
Surgical management of papillary and follicular carcinoma of the thyroid.
作者信息
Farrar W B, Cooperman M, James A G
出版信息
Ann Surg. 1980 Dec;192(6):701-4. doi: 10.1097/00000658-198012000-00001.
Abstract
The clinical outcome in 155 patients with papillary or follicular carcinoma of the thyroid gland operated on over a 25-year period demonstrated no difference in survival rates or incidence of recurrent tumor between those treated by total thyroidectomy and those undergoing less than total thyroidectomy. However, the complication rate was statistically significantly higher in those undergoing total thyroidectomy. Partial thyroidectomy with lobectomy on the side of the tumor, resection of the thyroid isthmus, and simple excision of enlarged cervical lymph nodes, if present, appears to be equally effective and safer.
摘要
在25年期间接受手术的155例甲状腺乳头状癌或滤泡状癌患者中，全甲状腺切除术患者与接受次全甲状腺切除术患者的生存率或肿瘤复发率并无差异。然而，全甲状腺切除术患者的并发症发生率在统计学上显著更高。对于肿瘤侧行甲状腺叶切除术、切除甲状腺峡部以及如有肿大的颈部淋巴结则行单纯切除术的部分甲状腺切除术，似乎同样有效且更安全。
相似文献
1
Surgical management of papillary and follicular carcinoma of the thyroid.甲状腺乳头状癌和滤泡状癌的手术治疗
Ann Surg. 1980 Dec;192(6):701-4. doi: 10.1097/00000658-198012000-00001.
2
Surgery for thyroid carcinoma.甲状腺癌手术
Cancer. 1985 Mar 15;55(6):1376-81. doi: 10.1002/1097-0142(19850315)55:6<1376::aid-cncr2820550636>3.0.co;2-r.
3
[Surgical treatment of differentiated carcinoma of the thyroid. Follow-up of 99 cases].[甲状腺分化型癌的外科治疗。99例随访]
Chir Ital. 2000 Jan-Feb;52(1):49-56.
4
[Prognostically relevant factors in follicular thyroid cancer].[滤泡性甲状腺癌的预后相关因素]
Langenbecks Arch Chir. 1990;375(5):266-71.
5
[Therapy concept in differentiated thyroid gland carcinoma--results of 25 years with 257 patients].[分化型甲状腺癌的治疗理念——257例患者25年的治疗结果]
Praxis (Bern 1994). 2000 Nov 2;89(44):1779-97.
6
Surgical complications after total thyroidectomy and resections for differentiated thyroid carcinoma.全甲状腺切除及分化型甲状腺癌切除术后的手术并发症。
Ann Chir Gynaecol. 1996;85(4):305-8.
7
Thyroid lobectomy is not sufficient for T2 papillary thyroid cancers.甲状腺叶切除术对于 T2 型甲状腺乳头状癌并不充分。
Surgery. 2018 May;163(5):1134-1143. doi: 10.1016/j.surg.2017.12.026. Epub 2018 Feb 13.
8
[Prognostically relevant factors in papillary thyroid cancer].[甲状腺乳头状癌的预后相关因素]
Med Klin (Munich). 1991 Feb 15;86(2):76-82.
9
Peroperative diagnosis and treatment of metastases to the regional lymph nodes in papillary carcinoma of the thyroid gland.甲状腺乳头状癌区域淋巴结转移的术中诊断与治疗
Surg Gynecol Obstet. 1989 Aug;169(2):107-14.
10
[Differentiated cancers].
Langenbecks Arch Chir Suppl II Verh Dtsch Ges Chir. 1990:961-6.
引用本文的文献
1
Systematic Review of Recurrence Rate after Hemithyroidectomy for Low-Risk Well-Differentiated Thyroid Cancer.低风险分化型甲状腺癌半甲状腺切除术后复发率的系统评价
Eur Thyroid J. 2020 Feb;9(2):73-84. doi: 10.1159/000504961. Epub 2020 Jan 28.
2
Pediatric papillary thyroid carcinoma: outcomes and survival predictors in 2504 surgical patients.儿童乳头状甲状腺癌：2504例手术患者的治疗结果及生存预测因素
Pediatr Surg Int. 2016 Mar;32(3):201-8. doi: 10.1007/s00383-015-3855-0. Epub 2015 Dec 30.
3
Pathological characteristics and clinical perspectives of papillary thyroid cancer: study of 714 patients.甲状腺乳头状癌的病理特征和临床观点：714 例患者研究。
Eur Arch Otorhinolaryngol. 2014 Jan;271(1):141-8. doi: 10.1007/s00405-013-2472-6. Epub 2013 Apr 9.
4
Prognosticators of survival in differentiated thyroid carcinoma.分化型甲状腺癌生存的预后指标。
Indian J Otolaryngol Head Neck Surg. 2001 Jan;53(1):6-10. doi: 10.1007/BF02910969.
5
Impact of preserving the parathyroid glands on hypocalcemia after total thyroidectomy with neck dissection.甲状腺全切术联合颈部清扫术中保留甲状旁腺对术后低钙血症的影响。
J Korean Surg Soc. 2012 Aug;83(2):75-82. doi: 10.4174/jkss.2012.83.2.75. Epub 2012 Jul 25.
6
Surgical and pathological characteristics of papillary thyroid cancer in children and adolescents.儿童及青少年甲状腺乳头状癌的手术及病理特征
Int J Pediatr. 2012;2012:125389. doi: 10.1155/2012/125389. Epub 2011 Nov 17.
7
Meta-analysis of thyroidectomy with ultrasonic dissector versus conventional clamp and tie.超声刀甲状腺切除术与传统钳夹结扎术的荟萃分析
World J Surg Oncol. 2010 Dec 23;8:112. doi: 10.1186/1477-7819-8-112.
8
Papillary thyroid cancer.乳头状甲状腺癌
Curr Treat Options Oncol. 2000 Oct;1(4):329-38. doi: 10.1007/s11864-000-0048-3.
9
Parathyroid autotransplantation during thyroidectomy. Results of long-term follow-up.甲状腺切除术中甲状旁腺自体移植。长期随访结果。
Ann Surg. 1996 May;223(5):472-8; discussion 478-80. doi: 10.1097/00000658-199605000-00003.
10
Acute temporary laterofixation for treatment of bilateral vocal cord paralyses after surgery for advanced thyroid carcinoma.急性临时性侧方固定术治疗晚期甲状腺癌术后双侧声带麻痹
World J Surg. 1993 Mar-Apr;17(2):277-81. doi: 10.1007/BF01658947.
本文引用的文献
1
THYROID CARCINOMA. CLASSIFICATION, INTRAGLANDULAR DISSEMINATION, AND CLINICOPATHOLOGICAL STUDY BASED UPON WHOLE ORGAN SECTIONS OF 80 GLANDS.甲状腺癌。基于80个腺体全器官切片的分类、腺内播散及临床病理研究
Cancer. 1963 Nov;16:1425-60. doi: 10.1002/1097-0142(196311)16:11<1425::aid-cncr2820161106>3.0.co;2-e.
2
Total thyroidectomy for cancer of the thyroid: significance of intraglandular dissemination.甲状腺癌的全甲状腺切除术：腺内播散的意义
Ann Surg. 1959 Jun;149(6):858-66. doi: 10.1097/00000658-195906000-00009.
3
Complications of total thyroidectomy for carcinoma.甲状腺癌全切除术的并发症
Surg Gynecol Obstet. 1970 Nov;131(5):861-8.
4
Papillary carcinoma of the thyroid. Recurrence in the thyroid gland after initial surgical treatment.甲状腺乳头状癌。初次手术治疗后甲状腺复发。
Am J Surg. 1972 Oct;124(4):468-72. doi: 10.1016/0002-9610(72)90068-2.
5
Feasibility of total thyroidectomy in the treatment of thyroid carcinoma: postoperative radioactive iodine evaluation of 140 cases.全甲状腺切除术治疗甲状腺癌的可行性：140例患者术后放射性碘评估
Am J Surg. 1979 Oct;138(4):555-60. doi: 10.1016/0002-9610(79)90418-5.
Zotero 插件