| 分化型甲状腺癌再次手术临床分析 |
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| 引用本文： | 周宏,徐普庆. 分化型甲状腺癌再次手术临床分析[J]. 现代肿瘤医学, 2011, 19(6): 1115-1116. DOI: 10.3969/j.issn.1672-4992.2011.06.22 |
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| 作者姓名： | 周宏 徐普庆 |
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| 作者单位： | 江苏省常州市第四人民医院(苏州大学附属常州肿瘤医院)耳鼻咽喉-头颈外科,江苏,常州,213001 |
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| 摘 要： | 目的:探讨分化型甲状腺癌再次手术的原因、时机及对策。方法:对5年来收治的甲状腺手术后病理证实为分化型甲状腺癌,需要再次手术治疗的30例临床病理资料进行回顾性分析。结果:24例再次手术的原因为将分化型甲状腺癌误诊为甲状腺良性病变,手术切除范围不够,4例原因为分化型甲状腺癌术后复发,2例原因为131I治疗前的甲状腺清除。结论:分化型甲状腺癌的误诊是造成甲状腺癌再次手术的主要原因,应强调术中快速冰冻病理检查在甲状腺手术中的常规应用。
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| 关 键 词： | 分化型甲状腺癌 再手术 对策 |
Clinical analysis of reoperation for patients with differentiated thyroid cancer |
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| ZHOU Hong,XU Pu-qing. Clinical analysis of reoperation for patients with differentiated thyroid cancer[J]. Journal of Modern Oncology, 2011, 19(6): 1115-1116. DOI: 10.3969/j.issn.1672-4992.2011.06.22 |
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| Authors: | ZHOU Hong XU Pu-qing |
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| Affiliation: | Department of Otolaryngology-Head and Neck Surgery,Fourth People’s Hospital of Changzhou,Changzhou 213001,China. |
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| Abstract: | Objective:To explore the causes,time and managements of reoperation for patients with differentiated thyroid cancer.Methods: From 2005 to 2010,30 patients were admitted for thyriod reoperation due to differentiated thyroid cancers pathologically confirmed after first operation.The clinical and pathological data were analyzed retrospectively.Results: The causes of reoperation were misdiagnosis of differentiated thyroid cancer as benign diseases(24 cases),post-opertive recurrence(4 cases),before 131I ablation which differentiated thyroid cancer with distant matastasis(2 cases).Conclusion: Misdiagnosis of differentiated thyroid cancer is the main cause of reoperation.Routine application of quick pathological diagnosis during operation of thyroid should be emphasized. |
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| Keywords: | differentiated thyroid cancer reoperation management |
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