儿童甲状腺癌13例临床分析

本文报告１９８５－１９９４年收治的儿童甲状腺癌１３例。年龄７－１６岁。男３岁，女１０例。所有病例无不适，而以颈部肿物就诊。除１例根治术前未做过任何治疗外，其余病例均曾进行过不恰当治疗，颈淋巴结转移１０例，肺转移３例，骨转移１例。病理诊断：乳头状癌１０例，滤泡癌３例。手术以患侧腺叶及峡部切除或加健侧大部分切除为佳。如有颈淋巴结转移应同时行颈部清扫术。本文对儿童甲状腺癌的特征、误诊原因及其治疗进行了计

Thyroid carcinoma in children.

hirteen children with thyroid carcinoma weretreated from 1985 to 1994. Their ages ranged from 7 to16 years old. Male 3 and female 10. All patients didn'tfeel any discomfortable. Clinical complaints were neckmasses. The patients had been treated improperly be-fore radical operation except one case. Metastaeis tothe celvical lymph nodes lungs and bone were found in10, 3, 1 cases ies f)ectlvely on histologlcal examina-tion: 10 cases with papillary carcinoma and 3 with follicular carcinomaThe operation includes a lobectomy of the affectedside plus the isthmusecromy and the subtotal lobecto-my of the opposite The neck dissectal lobecto-sary when cervical lymph modes metastasis'is foundThe features of thyroid carcinoma in children, reasonof higher mlsdiagnose rate and the treatment are dis-'cussed.