甲状舌管癌的临床特征

朱莹莹; 赵大春; 陈兴明; 刘子文; 郭颖; 高志强

doi:10.13201/j.issn.1001-1781.2015.02.008

甲状舌管癌的临床特征

- 1 中国医学科学院北京协和医学院北京协和医院耳鼻咽喉科(北京, 100730);
- 2 中国医学科学院北京协和医学院北京协和医院病理科;
- 3 中国医学科学院北京协和医学院北京协和医院基本外科

详细信息

通讯作者: 陈兴明,E-mail:xingming.chen@hotmail.com

中图分类号: R739.91

收稿日期: 2014-07-30

Clinical features of thyroglossal duct carcinoma

- 1 Department of Otolaryngology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, 100730, China;
- 2 Department of Pathology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College;
- 3 Department of Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College

More Information

Corresponding author: CHEN Xingming, E-mail: xingming.chen@hotmail.com

Received Date: 30 July 2014

摘要

摘要: 目的:总结甲状舌管癌的临床特征及治疗方法。方法:回顾性分析北京协和医院收治的160例甲状舌管病变患者的临床资料,并检索相关文献。结果:160例患者中,甲状舌管癌3例(1.88%)。3例均采取手术治疗彻底切除病变,术后病理确诊为甲状舌管乳头状癌。其中1例伴有颈部淋巴结肿大,同期行颈淋巴清扫术并证实为转移癌,术后采用I¹³¹治疗。分别随访2、10和14年未见复发或转移。结论:甲状舌管癌发病率极低,诊断需通过病理检查明确,治疗原则首选手术切除,必要时同期行颈淋巴清扫术。
- 甲状舌管 /
- 乳头状癌 /
- 诊断 /
- 治疗
Abstract: Objective: To analyze the clinicopathological features, treatments, and prognosis of patients with papillary TDCa. Method: A retrospective study was conducted of the medical records of our hospital for cases of TDCa. General clinical information including diagnostic criteria and treatments was obtained and analyzed. A literature review was also conducted. Result: There were 160 cases of thyroglossal duct anomalies hospitalized in Peking Union Medical College Hospital in the past 20 years, and TDCa was diagnosed in 3 (1.88%) cases. All 3 cases underwent local radical resections, and papillary TDCa was diagnosed based on the pathology examination. Selective neck dissection was chosen in one which was confirmed with cervical lymphatic metastasis. All patients were followed up with no recurrences or metastasis. Conclusion: The incidence of TDCa is very low and the pathology examination is the only way to confirm the diagnosis. Surgery, especially Sistrunk's procedure, is the treatment of choice, with low complications and recurrence. In the presence of cervical lymphadenopathy, selective neck dissection should be considered.
- thyroglossal duct /
- papillary carcinoma /
- diagnosis /
- treatment

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参考文献(13)

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