中国普通外科杂志2024，Vol.33Issue(11)：1866-1873,8.DOI:10.7659/j.issn.1005-6947.2024.11.013
局部晚期甲状腺癌多学科诊治1例报告
Multidisciplinary treatment of locally advanced thyroid cancer:a case report
摘要
Abstract
Differentiated thyroid carcinoma (DTC) is the most common endocrine tumor,characterized by high incidence,low recurrence rate,and low mortality. Locally advanced thyroid cancer (LATC) is rare in clinical practice,with poor prognosis,and is one of the leading causes of death among thyroid cancer patients. In August 2024,the Thyroid Surgery Department of China-Japan Union Hospital of Jilin University admitted a 61-year-old male patient with a history of "neck mass surgery 16 years ago and progressive enlargement with ulceration of the mass over the past 3 months." Physical examination revealed an irregularly shaped mass measuring approximately 12 cm × 12 cm in the left supraclavicular fossa,with a dark red surface,ulceration,bleeding,and necrotic exudate in some areas. After admission,a multidisciplinary team (MDT) consultation was initiated,and the patient underwent his fifth surgery,which included resection of the left cervical mass,left cervical lymphadenectomy,resection of a submental mass,and free flap transplantation. The patient was discharged on postoperative day 10 in good condition. One month after surgery,a follow-up ultrasound at our hospital showed no significant abnormalities in the neck,with good healing of the local skin and survival of the transplanted flap. This article reviews the MDT treatment process of this LATC case and summarizes the characteristics of LATC based on domestic and international literature,providing experience and references for the comprehensive treatment of this disease.关键词
甲状腺肿瘤/甲状腺癌,乳头状/病人医疗小组Key words
Thyroid Neoplasms/Thyroid Cancer,Papillary/Patient Care Team分类
医药卫生引用本文复制引用
付言涛,吴广智,刘彦希,张大奇,李婧婷..局部晚期甲状腺癌多学科诊治1例报告[J].中国普通外科杂志,2024,33(11):1866-1873,8.基金项目
吉林大学中日联谊医院青年支持计划基金资助项目(2024qnpy05). （2024qnpy05）
