摘要
甲状腺未分化癌预后很差。大宗的临床资料不多见。回顾我院头颈外科１９６０～１９９０年期间收治的８０例甲状腺未分化癌和低分化癌，从临床角度探讨了影响其预后的有关因素。结果表明，低分化或未分化癌有可能由分化较好的甲状腺癌转化，能及时得到诊断和治疗者预后较好。术后加外照射放疗，比单纯手术效果好，单纯放疗虽大部分病人有缓解，但对生存率影响不明显。５年生存率１４％，平均生存时间２．７±１年。作者认为，早期诊断、争取手术根治，配合放疗，有希望改善甲状腺未分化癌的预后。
Abstract The undifferenciatd or low-differenciated carcinoma of the thyroid gland trcated at the Department of Head and Neck Surgery from 1960-1990 were reviewed. The factors relative to prognosis were discussed. Operative treatment combined with radiotherapy had a significantly better survival rate as compared with surgery or radiotherapy alone。5-year suvival rate in our series was 14%, with a median suvival time of 2.7±1year.We consider that carly diagnoses and radical surgery combined with radiotherapy help to improve the prognosis of undifferenciated thyroid carcinoma.
出处
《耳鼻咽喉（头颈外科）》
1994年第3期167-170,共4页
Chinese Arch Otolaryngology-Head Neck Surg
