【摘要】 目的 分析甲状腺髓样癌临床特征，探讨其病理学特点、诊断和治疗方法。方法 回顾分析辽宁省肿瘤医院1993～2003年经治的23例甲状腺髓样癌的临床及病理资料。结果 23例均予手术切除原发灶或加行颈淋巴结清扫术。所有病例均经病理证实，淋巴结转移率为65%。术后5年、10年生存率分别为80%、60%。结论 甲状腺髓样癌具有多分化肿瘤的特点，可产生多种神经内分泌物质，少数病人可出现类癌综合征或顽固性腹泻。甲状腺髓样癌的治疗应以根治性切除为原则，切除范围应比其他类型的甲状腺癌更为积极，必须确保足够的切除范围。

    关键词 甲状腺 甲状腺髓样癌

    Medullary thyroid carcinoma:Analysis of23cases

    Wang Jing，Liang Yan，Li Meng，et al.

    Department of Head and Neck Surgery，Liaoning Tumor Hospital，Shenyang110042.

    【Abstract】 Objective To study the clinical characteristics，pathological characteristics，diagnosis and treatˉment of medullary thyroid carcinoma.Methods Clinical and pathological data of23cases of medullary thyroid carciˉnoma were observed and analyzed retrospectively.Results Primary tumor resection or combined with cervical lymph node dissection were adopted in23cases.All cases were verified by pathology ......