Hay I D, Klee G G
Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota.
Clin Lab Med. 1993 Sep;13(3):725-34.
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.
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。