Chen H, Udelsman R
Division of Surgical Oncology, Johns Hopkins Hospital, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Surg Oncol Clin N Am. 1998 Oct;7(4):645-63.
Papillary thyroid carcinoma (PTC) is the most common epithelial thyroid tumor and comprises approximately 80% of all thyroid cancers. In this article, the authors discuss the data showing that total thyroidectomy is the treatment of choice of clinically significant PTC, and review an algorithm for the management of lymph node metastases. Although the prognosis for patients with PTC is generally good, appropriate surgical management (total thyroidectomy plus 131I and life-long TSH suppression) can further reduce recurrence and cancer death rates significantly.
乳头状甲状腺癌（PTC）是最常见的甲状腺上皮性肿瘤，约占所有甲状腺癌的80%。在本文中，作者讨论了表明全甲状腺切除术是具有临床意义的PTC的首选治疗方法的数据，并回顾了一种淋巴结转移的管理算法。尽管PTC患者的预后总体良好，但适当的手术管理（全甲状腺切除术加131I和终身促甲状腺激素抑制）可进一步显著降低复发率和癌症死亡率。
