Hacker H W, Naruhn M, Schweizer P, Schilling F H
Abteilung für Kinderchirurgie, Universität Tübingen.
Langenbecks Arch Chir Suppl Kongressbd. 1996;113:205-7.
We report on nine children, 9 to 17 years of age, with papillary carcinoma of the thyroid, whereby eight of them had lymph node metastases, and four had diffuse pulmonary metastases. After total thyroidectomy and up to four cycles of radioiodine treatment, as well as surgical resection of metastases negative to radioactive iodine uptake, there was no evidence of relapsing disease in any of the children. Hence, taking into consideration and optimal tumor patient follow-up and the improvement of the long-term prognosis, we recommended total thyroidectomy, also for encapsulated, well-differentiated thyroid carcinomas.
我们报告了9例9至17岁的甲状腺乳头状癌患儿，其中8例有淋巴结转移，4例有弥漫性肺转移。在全甲状腺切除术后，进行了多达四个周期的放射性碘治疗，以及对放射性碘摄取阴性的转移灶进行手术切除后，所有患儿均无疾病复发的迹象。因此，考虑到最佳的肿瘤患者随访以及长期预后的改善，我们建议对包膜完整、分化良好的甲状腺癌也进行全甲状腺切除术。
