青少年分化型甲状腺癌60例临床分析

摘要

目的：讨论青少年分化型甲状腺癌的临床表现、诊断、最佳治疗方法及预后。方法：回顾性分析1995%Objective:To study the clinical characteristics,diagnosis,treatment and prognosis of adolescent thyroid carcinoma. Methods:The records of 60 cases of adolescent thyroid carcinoma under 20 years old between 1995 and 2010 were reviewed. All the cases were sporadic. Results:All patients underwent surgical treatment and hormone sup-pressive therapy. The pathological test revealed papillary carcinoma 51 cases,follicular carcinoma 9 cases. Cervical lymphonode metastasis was found in 1 7 cases ,2 cases of them with bilateral cervical lymph node metastasis ,were 3. 3% in all the cases. Treatment consisted of lobectomy in 45 cases(8 cases received neck dissection),subtotal thy-roidectomy in 13 cases( unilateral dissection in 5 and bilateral dissection in 2 cases),total thyroidectomy and bilater-al dissection in 2 cases. All the cases received postoperative thyroid hormone suppressive therapy. The follow-up pe-riod was 2 to 17 years( with 25 cases over 10 years). The 5- and 10-year survival rates were 100%. Conclusion:Differentiaed thyroid carcinoma of adolescents has a good prognosis and color ultrasound is the primary examination method,fine needle aspiration is available for diagnosis. The first reasonable operational manner is the most important.