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甲状腺癌的诊断与管理。

Thyroid cancer diagnosis and management.

作者信息

Hay I D, Klee G G

机构信息

Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota.

出版信息

Clin Lab Med. 1993 Sep;13(3):725-34.

PMID:8222585
Abstract

This article provides an overview of the classification of thyroid carcinoma into well-differentiated forms (papillary and follicular) as well as the rare Hurthle cell, medullary, and anaplastic forms. The characteristics, relative frequency, and mortality rates of each form of thyroid cancer are summarized. The roles of history, physical examination, blood tests, such as thyroid function test, thyroglobulin (htg), calcitonin and CEA, radionuclide and ultrasound imaging, and fine-needle aspirates are outlined for the diagnosis and management of thyroid cancer. An algorithmic diagram of the monitoring procedures for long-term management of various forms of thyroid cancer is presented.

摘要

本文概述了甲状腺癌的分类,包括高分化型(乳头状和滤泡状)以及罕见的许特耳细胞型、髓样型和未分化型。总结了每种甲状腺癌的特征、相对发病率和死亡率。概述了病史、体格检查、血液检查(如甲状腺功能检查、甲状腺球蛋白(htg)、降钙素和癌胚抗原)、放射性核素和超声成像以及细针穿刺抽吸在甲状腺癌诊断和管理中的作用。给出了各种甲状腺癌长期管理监测程序的流程图。

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Thyroid cancer diagnosis and management.甲状腺癌的诊断与管理。
Clin Lab Med. 1993 Sep;13(3):725-34.
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Thyroglobulin in patients with differentiated thyroid carcinoma.分化型甲状腺癌患者的甲状腺球蛋白
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[Serum thyroglobulin in the diagnosis of metastases of differentiated thyroid cancer. Effect of suppressive thyroid hormone substitution on the diagnostic accuracy of thyroglobulin values].[血清甲状腺球蛋白在分化型甲状腺癌转移灶诊断中的应用。甲状腺激素替代抑制对甲状腺球蛋白诊断准确性的影响]
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Management of patients with differentiated thyroid cancer who have positive serum thyroglobulin levels and negative radioiodine scans.血清甲状腺球蛋白水平阳性且放射性碘扫描阴性的分化型甲状腺癌患者的管理。
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Preoperative serum thyroglobulin as an adjunct to fine-needle aspiration in predicting well-differentiated thyroid cancer.术前血清甲状腺球蛋白作为细针穿刺的辅助手段预测分化型甲状腺癌。
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Influence of the thyroid remnant in the elevation of the serum thyroglobulin after thyroidectomy in differentiated thyroid carcinoma. Importance of the diagnostic iodine total-body scanning.分化型甲状腺癌甲状腺切除术后甲状腺残留对血清甲状腺球蛋白升高的影响。诊断性碘全身扫描的重要性。
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