Chen J
Tumor's Hospital, Shanghai Medical University.
Zhonghua Wai Ke Za Zhi. 1993 Jun;31(6):363-5.
We reviewed 141 cases of well-differentiated thyroid carcinoma with laryngotracheal invasion surgically treated from 1957 through 1984. Of the 141 cases, 68 had the tumor adhesive to the larynx or/and trachea, 66, the tumor invading the cartilage of airway, and 7, the tumor invading into the lumen of airway. 82 cases (33 with microscopically residual tumor, and 26 with grossly residual tumor) underwent total resection. Postoperative radiotherapy was added to the last two groups. The 10-year survival rate was 84.45%, but in Group I, II and III it was 93.94%, 90.68%, and 53.91% respectively. Radiotherapy which was added postoperatively was a positive prognostic factor in improving the survival.
我们回顾了1957年至1984年期间手术治疗的141例伴有喉气管侵犯的高分化甲状腺癌病例。在这141例病例中，68例肿瘤与喉或/和气管粘连，66例肿瘤侵犯气道软骨，7例肿瘤侵犯气道管腔。82例（33例镜下有残留肿瘤，26例肉眼有残留肿瘤）接受了全切除术。后两组加用了术后放疗。10年生存率为84.45%，但在第一组、第二组和第三组中分别为93.94%、90.68%和53.91%。术后加用放疗是改善生存的一个积极预后因素。
