偶然的甲状腺癌:与头癌的手术相关的经验
Pingdong Li1,2, Xiaolian Fang1,2, Zheng Yang1,2
1Department of Otolaryngology, Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China.
Gland surgery
|June 7, 2023
概括
在头部和部手术期间发现的偶然甲状腺癌 (ITC) 需要注意. 在这些罕见的甲状腺癌病例中,建议进行术后的TSH抑制疗法和随访.
科学领域:
- 在瘤学瘤学.
- 头部和部手术 头部和部手术
- 内分泌学 在内分泌学.
背景情况:
- 偶然的甲状腺癌 (ITC) 是头癌手术中罕见的发现.
- 目前对ITCs在这种情况下的治疗指南缺乏.
- 本研究回顾了与头癌手术相关的ITC的机构经验.
研究的目的:
- 描述在头癌手术期间发现的偶然甲状腺癌 (ITC) 的治疗方法和结果.
- 为在接受重大头部和部手术的患者中管理ITC提供见解.
主要方法:
- 在5年内对11名ITC患者进行头手术的回顾性分析.
- 收集的数据包括结节的特征,病理,手术程序和随访.
- 所有患者都接受了甲状腺刺激激素 (TSH) 抑制疗法,并被跟踪超过1年.
主要成果:
- 确定了11名患有ITC的患者 (10名男性,1名女性;平均年龄58岁).
- 大多数患者 (72.7%) 患有喉状细胞癌;7人患有手术前的甲状腺结节.
- 在TSH抑制治疗后,没有观察到甲状腺癌的复发或死亡.
结论:
- 头部手术患者的偶然甲状腺癌需要更多的临床关注.
- 为了更好地理解和管理,需要进一步的研究和长期跟进.
- 推在手术前用细针吸收 (FNA) 检查可疑结节;术后适用于TSH抑制和随访.
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