西安交通大学学报（医学版）2024，Vol.45Issue(1)：23-27,5.DOI:10.7652/jdyxb202401004
分化型甲状腺癌的复发治疗
Treatment of recurrent disease in differentiated thyroid cancer
张浩 1项敬哲 1孙威1
作者信息
- 1. 中国医科大学附属第一医院甲状腺外科,辽宁沈阳 110001
- 折叠
摘要
Abstract
Differentiated thyroid cancer usually has a good prognosis;however,recurrence occurs in 5％to 20％of patients after initial treatment,which causes physiopsychological and financial burdens for the patients.In the meantime,it complicates the treatment decision-making for clinicians.Different from initial treatment,the management of recurrent thyroid cancer should take comprehensive consideration of factors such as risks and benefits.Surgery is considered to be the first choice of treatment while radioactive iodine therapy is recommended for radioiodine-avid recurrent disease.Smaller lesions can be managed with active surveillance temporarily,and thermal ablation should only be applied to patients not suitable for additional surgery.In contrast,external beam radiotherapy and systemic therapies are considered only after all therapy options have been exhausted.关键词
分化型甲状腺癌/复发/治疗/手术/放射性碘治疗Key words
differentiated thyroid cancer/recurrence/treatment/surgery/radioactive iodine therapy分类
医药卫生引用本文复制引用
张浩,项敬哲,孙威..分化型甲状腺癌的复发治疗[J].西安交通大学学报（医学版）,2024,45(1):23-27,5.
