全甲状腺切除术在分化型甲状腺癌治疗中的作用。
The role of total thyroidectomy in the management of differentiated thyroid cancer.
作者信息
Stephenson B M, Wheeler M H, Clark O H
机构信息
Department of Surgery, Cardiff Royal Infirmary, UK.
出版信息
Curr Opin Gen Surg. 1994:53-9.
PMID:7584009
Abstract
The extent of surgical resection required in the optimal management of differentiated (papillary and follicular) thyroid carcinoma remains controversial. Arguments in favor of total thyroidectomy include the adequate treatment of tumor multifocality, reduction in local recurrence rates and anaplastic transformation, and creating a suitable environment for radioactive iodine scanning and treatment of metastases. The benefits of this procedure have to be weighed against the potential but minimal morbidity.
摘要
在分化型（乳头状和滤泡状）甲状腺癌的最佳治疗中，所需手术切除范围仍存在争议。支持全甲状腺切除术的理由包括充分治疗肿瘤多灶性、降低局部复发率和间变转化风险，以及为放射性碘扫描和转移灶治疗创造适宜环境。该手术的益处必须与潜在但极小的发病率相权衡。
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