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目的探讨甲状腺髓样癌的诊治方法。方法回顾性分析17例甲状腺髓样癌患者临床资料。结果甲状腺髓样癌患者17例,采用患侧叶+峡部切除、对侧叶次全或近全切除治疗,常规Ⅵ、Ⅶ区淋巴结清扫,合并淋巴结转移者行择区(Ⅱ~Ⅴ区)性颈淋巴结清扫;均经术中冰冻及术后组织病理证实为甲状腺髓样癌,8例有颈淋巴结转移,5a生存14例。结论甲状腺髓样癌术前确诊困难,颈淋巴结转移率高,外科手术治疗疗效满意。
Objective To investigate the diagnosis and treatment of medullary thyroid carcinoma. Methods The clinical data of 17 patients with medullary thyroid carcinoma were retrospectively analyzed. Results Seventeen patients with medullary thyroid carcinoma were treated with ipsilateral lobectomy and isthmus resection, subtotal or subtotal follicular resection, conventional Ⅵ and Ⅶ lymph node dissection, and lymph node metastasis in patients with metastasis (Ⅱ-Ⅴ) Cervical lymph node dissection were confirmed by intraoperative frozen and postoperative histopathology as medullary thyroid carcinoma, cervical lymph node metastasis in 8 cases, 14 cases of survival in 5a. Conclusions Medullary thyroid carcinoma is difficult to diagnose before operation, the rate of cervical lymph node metastasis is high, and the effect of surgical treatment is satisfactory.