Lâm sàng, cận lâm sàng ung thư tuyến giáp tái phát

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Xuân Hậu Nguyễn, Xuân Hiền Nguyễn

Ngôn ngữ: Vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam) 2022

Mô tả vật lý: 252-255

Bộ sưu tập: Metadata

ID: 407805

Thêm vào giỏ Liên kết toàn văn

Đánh giá đặc điểm lâm sàng và cận lâm sàng của ung thư tuyến giáp tái phát. Đối tượng và phương pháp: Thiết kế hồi cứu kết hợp tiến cứu trên 50 bệnh nhân được chẩn đoán ung thư tuyến giáp tái phát điều trị tại khoa UB&CSGN bệnh viện Đại học Y Hà Nội từ tháng 10/2017 đến tháng 8/2021. Kết quả: Tuổi trung bình là 42,8, tỉ lệ nữ/nam là 8/1. Trung vị thời gian tái phát là 38,2 tháng. Đa phần bệnh nhân không có triệu chứng gì. Tái phát nhiều nhất tại hạch vùng chiếm 61,1%. Siêu âm phát hiện được 90,7% trường hợp tái phát. Chọc hút tế bào bằng kim nhỏ tỉ lệ dương tính đạt 89,2%. Thyroglobulin tăng trong 80,6%, xạ hình toàn thân cho tỉ lệ dương tính 56,1%. PET/CT được thực hiện ở 33,3% bệnh nhân với tỉ lệ phát hiện bệnh 100%. Kết luận: Ung thư tuyến giáp tái phát chủ yếu tại chỗ, ít triệu chứng., Tóm tắt tiếng anh, To evaluate the clinicopathological features of recurrent thyroid cancer. Subjects and Methods: a retrospective combined with a prospective cohort study of 50 recurrent thyroid cancer patients treated by surgery at Hanoi Medical University Hospital from October 2017 to August 2021. Results: The mean age was 42.8 and the ratio of female/male was 8/1. The median time to relapse was 38.2 months, and most of the patients had asymptomatic. Recurrence occurred in local lymph nodes in 61.1% of cases. Ultrasound could detect lesions in 90.7% of patients. FNA gave a malignant result in 89.2% of cases. 80.6% of patients had elevated thyroglobulin, the positive whole-body scan results in 56.1%. PET/CT was performed in 33.3% of patients with 100% recurrence detected. Conclusion: Almost thyroid carcinoma is local recurrence, slight symtoms.

1. Đọc trực tuyến

1. Đọc trực tuyến

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