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为总结近年青少年甲状腺癌的临床特点、诊断和治疗方法。回顾性分析烟台毓璜顶医院甲状腺外科1990-2007年收治的≤18岁青少年甲状腺癌患者20例。其中,乳头状腺癌17例,滤泡状癌2例,乳头滤泡状癌1例,均行手术治疗。患侧腺叶加峡部切除2例,患侧腺叶加峡部切除及对侧大部切除18例,单侧功能性颈淋巴结清除术13例,双侧颈部淋巴结清除术2例,术后病理示颈淋巴结转移15例。所有患者术后均予甲状腺素抑制治疗。平均随访8年(1～16年),5年生存率100.0%,获10年随访患者10年生存率85.7%。初步研究结果提示,青少年甲状腺癌预后良好,正确的诊断和恰当的治疗是取得长期生存的关键。
To summarize the clinical features of adolescent thyroid cancer in recent years, diagnosis and treatment. A retrospective analysis of Yantai Yuhuangding Hospital, thyroid surgery from 1990 to 2007 admitted to 18 cases of adolescents with thyroid cancer in 20 patients. Among them, papillary adenocarcinoma in 17 cases, follicular carcinoma in 2 cases, papillary follicular carcinoma in 1 case, were undergone surgical treatment. Ipsilateral lobes plus isthmus resection in 2 cases, ipsilateral lobes plus isthmus resection and contralateral maxillofacial resection in 18 cases, unilateral functional neck lymph node dissection in 13 cases, bilateral neck lymph node dissection in 2 cases, postoperative pathology Show cervical lymph node metastasis in 15 cases. All patients were treated with thyroid hormone suppression. The average follow-up of 8 years (1 to 16 years), 5-year survival rate of 100.0%, 10-year follow-up of patients with 10-year survival rate of 85.7%. Preliminary findings suggest that the prognosis of adolescent thyroid cancer is good, the correct diagnosis and appropriate treatment is the key to long-term survival.