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远处转移甲状腺癌诊治值得关注的几个问题

田文 王冰

中国实用外科杂志2024,Vol.44Issue(6):615-618,624,5.
中国实用外科杂志2024,Vol.44Issue(6):615-618,624,5.DOI:10.19538/j.cjps.issn1005-2208.2024.06.03

远处转移甲状腺癌诊治值得关注的几个问题

Issues about the diagnosis and treatment of distant metastatic thyroid cancer

田文 1王冰1

作者信息

  • 1. 中国人民解放军总医院第一医学中心普通外科医学部甲状腺(疝)外科,北京 100853
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摘要

Abstract

Distant metastatic thyroid cancer is the key and difficult point in the diagnosis and treatment of thyroid cancer.It is necessary to conduct a comprehensive and systematic evaluation of the primary cervical lesion and distant metastatic lesion in combination with laboratory examination,imaging examination,pathology,and molecular diagnosis,and decide the diagnosis and treatment strategy and implement standardized and orderly treatment after multidisciplinary discussion.The treatment strategy of distant metastatic thyroid cancer focuses on evaluating and determining the order and mode of treatment of cervical primary lesions and distant metastases.It should follow the principle of prioritizing treatment of lesions that are life-threatening or may have serious complications.The treatment modalities include surgery,endocrine therapy,131I therapy,targeted therapy,external irradiation therapy,neoadjuvant therapy,etc.Individualized follow-up plan should be developed according to the treatment effect,dynamic monitoring of the disease and timely adjustment of treatment strategies,to maximize the quality of life and prolong the survival time of patients.

关键词

甲状腺癌/远处转移/多学科综合治疗协作组

Key words

thyroid cancer/distant metastasis/multidisci-plinary treatment

分类

医药卫生

引用本文复制引用

田文,王冰..远处转移甲状腺癌诊治值得关注的几个问题[J].中国实用外科杂志,2024,44(6):615-618,624,5.

基金项目

北京市科技计划课题(No.Z141107002514102) (No.Z141107002514102)

中国实用外科杂志

OA北大核心CSTPCD

1005-2208

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