随着甲状腺癌发病率的不断攀升,甲状腺癌治疗日益规范.但部分甲状腺癌治疗方案的制订仍存在不同的理解:如手术时机、术式选择、观察策略,主要包括两类:一类是经过家系筛查确诊的家族性甲状腺癌突变基因携带者,包括甲状腺髓样癌和非髓样甲状腺癌;另一类是经过细针穿刺细胞学检查确诊并采取观察方案的甲状腺微小癌患者,本文就中国这几类患者的诊治现状进行探讨.%As arising incidence of thyroid cancer,the treatment for thyroid carcinoma is becoming increasingly standardized.But there are different opinions on the treatment for some types of thyroid cancers,including the determination of operative opportunity,surgical method,and follow-up observation plan.There are mainly two categories of patients,namely the patients diagnosed as familial thyroid cancer mutation carriers through family screening,including medullary thyroid carcinoma and familial nonmedullary thyroid carcinoma,and the patients with thyroid microcarcinoma that can be observed after diagnosed by fine needle biopsy cytology.We will discuss current situation for the diagnosis and treatment of these patients.
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