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  • Online:2019-03-01 Published:2019-03-19

重视甲状腺癌多学科综合治疗

田    文,郗洪庆   

  1. 中国人民解放军总医院普通外科,北京100853

Abstract:

Paying attention to multidisciplinary comprehensive treatment of thyroid cancer        TIAN Wen,XI Hong-qing.  Department of General Surgery,Chinese People’s Liberation Army General Hospital,Beijing 100853,China
Corresponding author:TIAN Wen,E-mail:tianwen301_cta01@163.com
Abstract    Thyroid cancer is one of the most common endocrine tumors,and its incidence is increasing. For complex and difficult thyroid cancer,the diagnosis process involves ultrasound,CT,radionuclide examination,laryngoscopy,hematological examination (thyroid function,serum TG),pathological examination.Surgical treatment is the main treatment.The whole diagnosis and treatment process involves thyroid surgery,otolaryngological department,thoracic surgery,anesthesia,endocrinology,nuclear medicine,radiotherapy,oncology,ICU,ultrasound,pathology,imaging and so on.Through the multidisciplinary team (MDT) model,surgeons can give full play to the advantages of multi-disciplinary to provide patients with the best diagnosis and treatment program,and achieve individualized and precise treatment.Ultimately,it helps to reduce surgical complications,improve prognosis and quality of life,improve the comprehensive curative effect of the disease,and ultimately benefit patients with thyroid cancer.

Key words: thyroid cancer, multidisciplinary team

摘要:

甲状腺癌是最常见的内分泌肿瘤之一,其发病率逐年上升。对于复杂疑难的甲状腺癌,其诊断过程涉及超声、CT、放射性核素检查、喉镜检查、血液学检查[甲状腺功能、血清甲状腺球蛋白(Tg)]、病理学检查。其治疗是以外科为主的综合治疗,诊疗过程涉及甲状腺外科、耳鼻喉科、胸外科、麻醉科、内分泌科、核医学科、放疗科、肿瘤内科、ICU、超声科、病理科、影像科等。采用多学科综合治疗协作组(MDT)模式可以发挥多学科优势,为病人提供最佳的诊疗方案,实现个体化、精准化治疗,有助于降低手术并发症发生率,改善病人预后和生活质量,提高综合疗效,最终使甲状腺癌病人获益。

关键词: 甲状腺癌, 多学科综合治疗协作组