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甲状腺癌

最后审阅: 10 Nov 2024
最后更新: 10 Jan 2023

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 可触及的甲状腺结节
完整详情

其他诊断因素

  • 成年期初期
  • 甲状腺癌家族史
  • 声嘶
  • 呼吸困难
  • 吞咽困难
  • 气管偏斜
  • 颈部淋巴结肿大
  • 快速的颈部肿大
完整详情

危险因素

  • 头颈部放射治疗
  • 女性
  • 甲状腺癌家族史
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诊断性检查

首要检查

  • TSH
  • 颈部超声
  • 细针穿刺活检
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需考虑的检查

  • 细胞学样本的分子分析
  • 游离 T4
  • 游离T3
  • 喉镜检查
  • I-123 甲状腺扫描和摄取
  • 粗针活检
  • 颈部 CT 扫描
  • 血清降钙素
  • 家族性综合征患者行基因检测
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新兴检查

  • 经喉超声
  • 前哨淋巴结活检

治疗流程

持续性治疗

乳头状、滤泡状或 Hürthle 细胞癌

未分化癌

髓样癌

原发性甲状腺淋巴瘤

撰稿人

作者

Rajiv Datta, MD, FACS, FRCS, FICS
Rajiv Datta

Chairman

Department of Surgery

Professor Of Surgery, Icahn School of Medicine at Mount Sinai

Chief

Division of Surgical Oncology

Chief

Division of Head and Neck Surgery

Mount Sinai South Nassau Hospital

Oceanside

NY

利益声明

RD declares that he has no competing interests.

同行评议者

Rosemarie Metzger, MD, MPH, FACS

Associate Professor of Surgery, Endocrine Surgery Division

Banner - University Medical Center

Phoenix

AZ

利益声明

RM declares that she has no competing interests.

Lindsay Bischoff, MD

Associate Professor

Medical Director Vanderbilt Thyroid Center

Vanderbilt University Medical Center

Nashville

TN

利益声明

LB declares that she has no competing interests.

F. Fausto Palazzo, MS, FRCS

Consultant Endocrine Surgeon

Hammersmith & Charing Cross Hospitals

Clinical Lead for Endocrine Surgery

Honorary Senior Lecturer

Imperial College

London

UK

利益声明

FFP declares that he has no competing interests.

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