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。
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