贵州医科大学学报

1986, (01) 16-20

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甲状腺癌的病理组织学分型及预后观察
HISTOPATHOLOGICAL CLASSIFICATION AND PROGNOSTIC STUDY OF THYROID CARCINOMAS

肖开棋;蒋功博;
Xaio Kaiqi Dep.of pathol.

摘要(Abstract):

分析甲状腺癌137例,其中45例进行了2~11年随访,发现除原用的乳头状腺癌、滤泡状腺癌、髓样癌及未分化癌之外,尚应增加滤泡、乳头均有的混合型腺癌、嗜酸性细胞癌以及除癌肿外尚可看到良性病变的恶变型癌。另将未分化癌去除小圆细胞后,仍包含梭形细胞、巨细胞及鳞状样细胞亚型而改称间变型癌。探讨了性别、年龄、肿瘤体积、包膜侵犯、淋巴血道转移及病理组织学类型等因素对预后的影响。
Thyroid carcinoma in137 cases are reviewed.Follow-up study of 45 cases have been done for 2~11 years.The histopathological thyroid carcinomatous changes are classified into 7 types:Besides papillary adenocarcinoma 52 cases(37.96%),follicular adenocarcinoma 35(25.56%),medullary carcinoma 5(3.65%),there are mixed adenocarcinoma 18(13.14%),Hurthle cell carcinoma 1 case(0.7),with malignant change 19(13.87%),anaplastic undifferentiated carcinoma 7(5.11%),including spindle cell,giant cell and squamoid cell types.The small cell tumors should not be included into the anaplastic category.The sex,age,size of tumor,degree of capsule invasion, lymph node,vascular metastasis and histopathological classification may provide the prognostic effect in various degree.

关键词(KeyWords): 甲状腺癌;间变型癌;混合型腺癌;嗜酸性细胞癌
Thyroid carcinoma;Anaplastic undifferentiated carcinoma;Mixed adenocarcinoma

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作者(Author): 肖开棋;蒋功博;
Xaio Kaiqi Dep.of pathol.

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