Prognostic factors of medullary thyroid carcinoma: clinical analysis of 73 cases
- VernacularTitle:甲状腺髓样癌的预后影响因素——73例临床分析
- Author:
Wenchuan ZHAO
- Publication Type:Journal Article
- Keywords:
medullary thyroid carcinoma;
diagnosis;
treatment;
prognosis
- From:
China Oncology
2001;0(02):-
- CountryChina
- Language:Chinese
-
Abstract:
Purpose: To explore the prognostic factors of medullary thyroid carcinoma( MTC) . Methods: The current study was designed to collect and analyze the clinical and follow-up information of 73 cases of MTC treated in our hospital. Results: It was shown that 37 cases were patients aged 30-40 years, it was more common in female than male, 83. 6% of these cases were regarded as clinical stage Ⅰ toⅢ. After treatment, the survival rate for 5 years were 100% , 41. 5% and 0 in the group of clinical stage Ⅰ,Ⅲ and IV respectively. None of those 8 cases in which the masses were incompletely removed surgically combined with the postoperative radiotherapy survived up to 5 years. Conclusions: The clinical stage, the thoroughness of the remove of MTC and its metastasis were the significant prognostic factors in our patients. It should be recognized that in most cases of MTC, though the mass was huge, it could be removal completely because it has an incomplete capsule. Although a little cancerous tissue might be left after operation, the prognosis is good after the postoperative radiotherapy. Therefore attempts of surgical removal of the cancerous mass should not be given up easily.
