重视甲状腺癌术后规范化长期随访
发布时间：2018-11-05 08:46
【摘要】：近年来,甲状腺癌发病率呈明显上升趋势。手术是治疗甲状腺癌最主要的手段。分化型甲状腺癌(DTC)总体预后较好,但甲状腺癌术后约30%病人会出现复发或转移,终生规范化随访和监控尤为重要。随访内容包括甲状腺功能的测定、甲状腺球蛋白(Tg)测定、颈部超声及131I全身扫描、18-氟脱氧葡萄糖正电子发射计算机断层扫描(18FDG PET)等。规范化长期随访动态观察病情进展,早期发现肿瘤复发及转移,监控治疗效果并及时调整治疗方案,对降低DTC病死率意义重大,甲状腺癌术后规范化管理势在必行。
[Abstract]:In recent years, the incidence of thyroid cancer has increased significantly. Surgery is the most important treatment for thyroid cancer. The overall prognosis of differentiated thyroid carcinoma (DTC) is good, but about 30% of patients with thyroid carcinoma will have recurrence or metastasis after operation. It is very important to follow up and monitor thyroid carcinoma for life. The follow-up included thyroid function, thyroid globulin (Tg), cervical ultrasound and 131I whole body scan, 18 fluorodeoxyglucose positron emission computed tomography (18FDG PET) and so on. Standardized long-term follow-up and dynamic observation of the progress of the disease, early detection of tumor recurrence and metastasis, monitoring the therapeutic effect and timely adjustment of the treatment plan are of great significance to reduce the mortality of DTC. It is imperative to standardize the management of thyroid cancer after operation.
【作者单位】： 中国人民解放军总医院普通外科;
【分类号】：R736.1
本文编号：2311551
[Abstract]:In recent years, the incidence of thyroid cancer has increased significantly. Surgery is the most important treatment for thyroid cancer. The overall prognosis of differentiated thyroid carcinoma (DTC) is good, but about 30% of patients with thyroid carcinoma will have recurrence or metastasis after operation. It is very important to follow up and monitor thyroid carcinoma for life. The follow-up included thyroid function, thyroid globulin (Tg), cervical ultrasound and 131I whole body scan, 18 fluorodeoxyglucose positron emission computed tomography (18FDG PET) and so on. Standardized long-term follow-up and dynamic observation of the progress of the disease, early detection of tumor recurrence and metastasis, monitoring the therapeutic effect and timely adjustment of the treatment plan are of great significance to reduce the mortality of DTC. It is imperative to standardize the management of thyroid cancer after operation.
【作者单位】： 中国人民解放军总医院普通外科;
【分类号】：R736.1
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