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分化型甲状腺癌的动态风险评估——从疾病特点出发的新理念
引用本文:关海霞|梁楠. 分化型甲状腺癌的动态风险评估——从疾病特点出发的新理念[J]. 中国普通外科杂志, 2016, 25(11): 1536-1543
作者姓名:关海霞|梁楠
作者单位:(1. 中国医科大学附属第一医院 内分泌科|辽宁 沈阳 110001;2. 吉林大学中日联谊医院 甲状腺外科/吉林省外科转化医学重点实验室|吉林 长春 130033)
摘    要:对分化型甲状腺癌(DTC)患者在随访期内进行动态风险评估是密切结合疾病特点而提出的新理念,是向疾病个体化、精确化诊治管理方向迈出的关键、坚实一步。笔者全面阐述DTC动态风险评估的发展历程、指南立场、根据评估结果的后续管理建议,以及现有风险分层的局限性和未来展望。

关 键 词:甲状腺肿瘤;危险性评估;指南
收稿时间:2016-10-15
修稿时间:2016-10-25

Dynamic risk stratification of differentiated thyroid cancer: a new concept that arose from the view of disease characteristics
GUAN Haixi,LIANG Nan. Dynamic risk stratification of differentiated thyroid cancer: a new concept that arose from the view of disease characteristics[J]. Chinese Journal of General Surgery, 2016, 25(11): 1536-1543
Authors:GUAN Haixi  LIANG Nan
Affiliation:(1. Department of Endocrinology and Metabolism, the First Hospital, China Medical University, Shenyang 110001, China|2. Department of Thyroid and Parathyroid Surgery, China-Japan Union Hospital, Jilin University/Jilin Provincial Key Laboratory of Surgical Translational Medicine, Changchun 130033, China)
Abstract:Conducting the dynamic risk assessment in patients with differentiated thyroid cancer (DTC) during follow-up period is a newly proposed concept that is closely linked to the characteristics of the disease, and it is a critical and solid step towards individualized and precise management. The present review is to comprehensively illustrate the dynamic risk assessment of DTC from the aspects of the development process, the standpoint of the guidelines, and the follow-up recommendations according to the assessment results, as well as the limitations and prospects of the current risk stratification.
Keywords:Thyroid Neoplasms   Risk Assessment   Guidebooks
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