摘要
甲状腺微小乳头状癌(PTMC)是一种直径1cm以下的特殊亚型甲状腺乳头状癌,其发病率虽逐年上升但预后良好。传统手术治疗作为PTMC主流的治疗方法应用最广泛,治疗效果也得到了一致的认可,但术后瘢痕及并发症加重了患者的负担。热消融技术短期内治疗效果并不亚于传统手术,而且创口小、治疗费用低,因此成为PTMC患者的新选择。部分低风险的PTMC长期处于非进展状态,使得主动监测治疗也成为治疗的一种选择。目前,PTMC的疾病管理策略的选择相对多样,治疗的争议也与日俱增。本文总结了现阶段PTMC主要的治疗方法并做一综述。
Papillary Thyroid Micro-Carcinoma(PTMC)is a special subtype of papillary thyroid carcinoma which is less than 1 cm in diameter.Inspite of the yearly increasing incidence,it does have a good prognosis.Traditional surgery is the most widely applied treatment method for PTMC,of which the results are highly recognized.However,the postoperative scars and the complications have aggravated the burden of patients.Compared with traditional surgery,thermal ablation has become a new option for PTMC patients for its short-term therapeutic effect with a smaller wound and lower treatment cost.Some low-risk PTMCs are at long-term non-progressive status,making active monitoring treatment become one of the treatment options as well.At present,there are relatively various options for the disease management strategy of PTMC and the controversies on treatment also are increasing.This paper summarizes and reviews the current main therapies for PTMC.
作者
朱莹
王蓓
ZHU Ying;WANG Bei(Shandong First Medical University&Shandong Academy of Medical Sciences;The First Affiliated Hospital of Shandong First Medical University&Shandong Provincial Qianfoshan Hospital,Shandong Medicine and Health Key Laboratory of Abdominal Medicine Imaging,Jinan 250014,China)
出处
《济宁医学院学报》
2022年第6期386-391,共6页
Journal of Jining Medical University
关键词
甲状腺
微小乳头状癌
主动监测
热消融
Thyroid gland
Papillary microcarcinoma
Active surveillance
Thermal ablation
作者简介
通信作者:王蓓,女,中共党员,医学博士,副主任医师,济宁医学院硕士生导师,山东第一医科大学硕士生导师,潍坊医学院硕士生导师。美国杰斐逊超声医学中心访问学者,美国休斯敦医学中心访问学者。目前担任山东省千佛山医院超声诊疗科副主任,介入超声科主任。社会兼职:山东省医学会超声医学分会副主任委员,山东省医师协会超声医学分会副主任委员,中国超声医学工程学会介入超声专业委员会委员,山东中医药大学副教授等。主要从事腹部、浅表器官及血管等疾病的诊断,擅长儿童及成人的各种肿物穿刺活检、胸腹水置管、深静脉置管、消融治疗等介入性超声的治疗。曾参与国自然基金课题1项,主持省级课题1项,厅局级课题1项。近年在国内外学术期刊发表论文20余篇,其中第一及通信作者发表SCI论文5篇,副主编专著1部。已培养研究生6名。E-mail:wangbei1224@126.com。
