青少年甲状腺癌25例临床分析

目的:分析探讨青少年甲状腺癌的临床特点、诊治及预后。方法:回顾性分析我院1993~2006年间收治的18岁以下青少年甲状腺癌患者25例。结果:乳头状腺癌21例,滤泡状癌2例,乳头滤泡状癌2例。均行手术治疗,患侧腺叶加峡部切除6例,患侧腺叶加峡部切除及对侧大部切除17例,甲状腺全切术2例,单侧功能性颈淋巴结清扫术15例,双侧颈清扫术4例,术后病理示颈淋巴结转移19例。所有患者术后均予甲状腺素治疗。平均随访8年(1~14年),5年生存率92.0%,获10年随访患者10年生存率86.9%。结论:青少年甲状腺癌预后较佳,治疗的关键是正确根据其病理类型和病情选择合适的手术方式。

Clinical analysis of 25 cases with adolescent thyroid carcinoma

Objective:To study the clinical characteristics,diagnosis,treatment and prognosis of adolescent thyroid carcinoma.Methods:The records of 25 cases of adolescent thyroid carcinoma under 18 years old between 1993 and 2006 were reviewed.Results:The pathological revealed papillary carcinoma 21 cases, follicular carcinoma 2 cases, papillary and follicular carcinoma 2 cases. All patients underwent surgical treatment, consisted of a lobectomy in 6 cases, subtotal thyroidectomy in 17 cases and total thyroidectomy in 2 cases. Single cervical lymphadenectomy in 15 cases and bilateral cervical lymphadenectomy in 4 cases. Cervical lymph node metastasis was found in 19 cases. All patients received postoperative thyroid hormone suppressive therapy.The follow-up period was 1 to 14 years.Conclusion:The prognosis of adolescent thyroid cancer is good. The key is the right choice according to their condition and pathological types of surgery.