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分析甲状腺癌的手术结果颇为困难,因为该病预后一般良好,术后均隔较长时间始有复发及死亡。本文分析1965年1月到1978年12月癌研究所附属医院收治的甲状腺癌病例,计高分化癌186例、低分化癌35例、未分化癌25例。全部病例随访1～14年。规定肿瘤直径5mm以下者,行一叶部份切除术为肉眼观相对根治手术,全叶切除术为肉眼观绝对根治手术;直径5mm以上者,行一叶部份切除术为非根治手术,全叶切除术为肉眼观相对根治手术;单纯肿瘤摘除术均为非根治手术。首次手术治疗控制率:高分化癌组为74.7％
Analysing thyroid cancer results is difficult, because the prognosis of the disease is generally good, and recurrence and death are common after a long time. This article analyzes cases of thyroid cancer admitted to the Cancer Institute Affiliated Hospital from January 1965 to December 1978, including 186 well-differentiated cancers, 35 poorly-differentiated cancers, and 25 undifferentiated cancers. All cases were followed up for 1 to 14 years. For patients with a tumor diameter of 5 mm or less, partial resection of the first leaf is a radical surgery, and total lobectomy is an absolute radical surgery. For a diameter of more than 5 mm, partial resection is a non-radical procedure. The lobectomy was a radical surgery with a naked eye; the simple tumor removal was a non- radical operation. The first surgical treatment control rate: 74.7% in the well-differentiated cancer group