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复发性甲状腺癌的再手术分析(附15例临床报告)
引用本文:王周权,任宏,刘刚. 复发性甲状腺癌的再手术分析(附15例临床报告)[J]. 现代肿瘤医学, 2007, 15(6): 849-850
作者姓名:王周权  任宏  刘刚
作者单位:1. 陕西省户县森林工业职工医院,陕西,西安,710300
2. 西安交通大学医学院第一附属医院,陕西,西安,710061
摘    要:目的:探讨影响甲状腺癌再手术效果的相关因素,及其合理的手术方式。方法:对15例复发性甲状腺癌再手术的资料进行回顾性分析。结果:本组二次手术12例,三次手术3例,15例分化型甲状腺癌再次手术发现总的残癌率60%(9/15),其中原发部位残癌率46.67%(7/15),颈部淋巴结转移率33.33%(5/15)。结论:甲状腺癌手术应规范,应行甲状腺腺叶切除,疑有颈淋巴结转移者,应行规范化的颈淋巴结清扫术。

关 键 词:甲状腺癌  复发  再手术
文章编号:1672-4992-(2007)06-0849-02
修稿时间:2006-09-042007-01-15

The clinical analysis of reoperation of recurrent thyroid cancer
WANG Zhou-quan,REN Hong,LIU Gang. The clinical analysis of reoperation of recurrent thyroid cancer[J]. Journal of Modern Oncology, 2007, 15(6): 849-850
Authors:WANG Zhou-quan  REN Hong  LIU Gang
Affiliation:Department of Oncosurgery , The Staff-worker Hospital of Forest Industry in County Hu , Shaanxi 710300, China.
Abstract:Objective:To explore the influential factors of reoperation for thyroid carcinoma and proper operation style.Methods:The clinical data of 15 reperated cases with differentiated thyroid cancer were analysed retrospectively.Results:Reperation was performed in 12 cases,three times of operation in 3 cases.The total rate of residual disease was 60%(9/15).The rate of the residual disease at primary site was 46.67%(7/15),the rate of node metastasis was 33.33%(5/15).Conclusion:The standard lobectomy shoude be selected for thyroid tumor.If the lymphoides metastasis was suspected,the neck node dissection should be performed.
Keywords:thyroid cancer   recurrence   reoperation
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