Moir C R, Telander R L
Division of Pediatric Surgery, Mayo Foundation, Rochester, MN.
Semin Pediatr Surg. 1994 Aug;3(3):182-7.
Papillary carcinoma of the thyroid is the most common thyroid cancer in children. It usually occurs in the teenage female and presents as a 3-cm mass within the thyroid itself. Although the tumor is well differentiated, almost 80% of all children will present with local lymph node metastasis. Despite this metastasis, most children have a life expectancy that parallels those of their peers for 30 years. Treatment for well-differentiated papillary carcinoma includes surgical excision of all cancerous tissue and removal of the affected lymph nodes. Radioablation of residual disease has been effective.
甲状腺乳头状癌是儿童中最常见的甲状腺癌。它通常发生在青少年女性中,表现为甲状腺内一个3厘米大小的肿块。尽管肿瘤分化良好,但几乎80%的儿童会出现局部淋巴结转移。尽管有这种转移,但大多数儿童的预期寿命在30年内与同龄人相当。分化良好的乳头状癌的治疗包括手术切除所有癌组织和切除受影响的淋巴结。对残留病灶进行放射性消融已取得成效。