摘要
目的:探讨影响甲状腺癌再手术效果的相关因素,及其合理的手术方式。方法:对15例复发性甲状腺癌再手术的资料进行回顾性分析。结果:本组二次手术12例,三次手术3例,15例分化型甲状腺癌再次手术发现总的残癌率60%(9/15),其中原发部位残癌率46.67%(7/15),颈部淋巴结转移率33.33%(5/15)。结论:甲状腺癌手术应规范,应行甲状腺腺叶切除,疑有颈淋巴结转移者,应行规范化的颈淋巴结清扫术。
Objective： To explore the influential factors of reoperation for thyroid carcinoma and proper operation style. Methods： The clinical data of 15 reperated cases with differentiated thyroid cancer were analysed retrospectively. Results： Reperation was performed in 12 cases, three times of operation in 3 cases. The total rate of residual disease was 60% （9/15）. The rate of the residual disease at primary site was 46.67% （7/15） ,the rate of node metastasis was 33.33% （5/15）. Conclusion： The standard lobectomy shoude be selected for thyroid tumor . If the lymphoides metastasis was suspected , the neck node dissection should he performed.
出处
《现代肿瘤医学》
CAS
2007年第6期849-850,共2页
Journal of Modern Oncology
关键词
甲状腺癌
复发
再手术
thyroid cancer
recurrence
reoperation
作者简介
王周权（1972-），男，陕西户县人，主治医师，主要从事肿瘤外科的临床工作。
