中国实用外科杂志

中国实用外科杂志

• 外科临床焦点 • 上一篇    下一篇

原发性甲状腺癌热消融治疗后再手术2例分析

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  1. 1 复旦大学附属肿瘤医院a.头颈外科，b.病理科，上海 200032；2复旦大学上海医学院肿瘤学系，上海 200032；3 江苏大学附属医院甲乳外科，江苏镇江 212000
  • 出版日期:2016-08-01 发布日期:2016-07-27

  • Online:2016-08-01 Published:2016-07-27

摘要：

目的    探讨超声引导下热消融技术治疗原发性甲状腺癌存在的问题。方法    回顾性分析2015年10-11月复旦大学附属肿瘤医院头颈外科收治的2例超声引导下经皮热消融技术治疗的原发性甲状腺癌病例资料。结果    甲状腺乳头状微小癌和甲状腺髓样癌各1例，分别经过射频消融和微波消融治疗后行手术治疗，术后病理学检查结果均证实癌灶残留并伴有颈部淋巴结转移。结论    热消融技术治疗原发性甲状腺肿瘤发生癌灶残留和淋巴结转移灶遗留风险较高，尚不能作为初治可手术原发性甲状腺癌的常规治疗手段。

关键词: 热消融, 甲状腺癌, 肿瘤残留

Abstract:

Analysis of the effectiveness of ultrasound-guided thermal ablation in initial treatment of primary thyroid tumor: A report of two cases and retrospective analysis of the previous literature        MA Ben*，WANG Yu，JI Qing-hai，et al. *Department of Head and Neck Surgery，Fudan University Shanghai Cancer Center，Shanghai 200032，China
Corresponding author：WANG Yu，E-mail：neck130@hotmail.com
Abstract    Objectives    To investigate the effectiveness of ultrasound-guided thermal ablation in treatment of primary thyroid cancer. Methods    We retrospectively analyzed two cases with suspicious thyroid cancer by ultrasound-guided fine needle aspiration biopsy who accepted surgery after undergoing thermal ablation at Fudan University Shanghai Cancer Center in October and November 2015，and performed a pooled analysis on the two cases and the other similar cases selected from the previous studies. Results    The primary tumors of the two cases after treatment of thermal ablation were confirmed to be remnant by surgery，and respectively PTC and MTC by histological pathology. Conclusion  Our findings suggest that there is not enough evidence for the effectiveness of the thermal ablation procedure in treatment of primary thyroid cancer.

Key words: thermal ablation, thyroid cancer, tumor residue