58例青少年甲状腺癌临床分析

目的 探讨青少年甲状腺癌的临床病理特征、诊断及治疗。方法 对58例青少年甲状腺癌患的临床资料进行回顾性分析。结果 青少年甲状腺癌以乳头状癌最常见，占87．9％，其次为滤泡状癌及髓样癌，分别占10．3％和1．7％；除1例肺部转移患拒绝治疗于6个月后死亡外，其余57例经随访1～15年，均健在。结论 青少年患尚处于生长发育阶段，在彻底切除肿瘤的基础上应特别注意保留功能。分化型甲状腺癌对放化疗不敏感，故应避免使用。青少年甲状腺癌预后良好，即使是晚期病例，亦应积极治疗。

Clinical analysis of 58 cases with thyroid cancer in the youths

Objective To evaluate the pathological stigmata,dianosis and therapy of youths thyroid cancer.Methods To make a retrospective study to 58 cases of youths thyroid cancer.Results Thyroid papillary adenocarcinoma covers 87 9%,and makes up the largest amount in all cases.Follicular adenocarcima covers 0 3% and medullary adenocarcima 1 7%.Except one patient with lung metastasis cancer who refuse therapy died in six month after diagnosis ,all others survived and have been followed up for 1 to 15 yerars.Concluison For youths are still growing,we must notice not to destroy too much fuctions when we make a radical ressection.And because the prognosis for youths thyroid cancer is good,we must make anthropocracy to all the cases even they are in the later stage.But we should avoid taking chemotherapy and radiotherapy,because thyroid cancer does not response to them.