滕卫平解读《2014年分化型甲状腺癌和甲状腺结节诊治指南》

2015-11-04 磨砂 医学论坛网

最近美国甲状腺学会(ATA)颁布了新版指南《2014年分化型甲状腺癌和甲状腺结节诊治指南》。这是美国ATA继2006年,2009年版本后颁布的第三个分化型甲癌指南。 在2015中华医学会内分泌大会上,滕卫平教授对照2009年指南的内容,介绍了新版指南的新观点,并且报告支持这些新观点的证据资料。 报告的内容包括:①分化型甲状腺癌(DTC)患者是选择甲状腺全切,还是单叶切除?根据ATA2014

最近美国甲状腺学会(ATA)颁布了新版指南《2014年分化型甲状腺癌和甲状腺结节诊治指南》。这是美国ATA继2006年,2009年版本后颁布的第三个分化型甲癌指南。

在2015中华医学会内分泌大会上,滕卫平教授对照2009年指南的内容,介绍了新版指南的新观点,并且报告支持这些新观点的证据资料。

报告的内容包括:①分化型甲状腺癌(DTC)患者是选择甲状腺全切,还是单叶切除?根据ATA2014年指南,肿瘤直径1-4cm,临床判定的低危患者都可以采取单叶切除。而明显的甲状腺腺外浸润、颈部淋巴结受累、远隔转移、肿瘤直径>4cm、有甲状腺癌家族史、有头颈部放射治疗史和年龄>45岁的患者,仍需考虑甲状腺全切或次全切除。

②中央淋巴结的预防性处理。ATA2009指南指出,即使临床判断中央淋巴结未被累计,也推荐做预防性中央淋巴结切除,特别是晚期患者。而ATA2014指南表明。对于没有转移的T1,T2期DTC患者,临床判断中央淋巴结未被累及的(cN0)和大多数的FTC,行甲状腺切除,不做预防性中央淋巴结切除。

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    2017-04-15 ylzr123

    不错的指南,为我们探讨研究提供了方针,给点个赞了!

    0

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    2016-01-05 xyfg98

    0

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    2016-01-05 三毛坨

    Bob

    0

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    2016-01-05 三毛坨

    Bob

    0

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    2016-01-05 三毛坨

    P

    0

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    2016-01-05 三毛坨

    Mm

    0

  8. [GetPortalCommentsPageByObjectIdResponse(id=187536, encodeId=dbcd18e53673, content=不错的指南,为我们探讨研究提供了方针,给点个赞了!, beContent=null, objectType=article, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7s7ZCKOmmbBTD6nE7gcd5OZpvyGEzkxBP3S275k5ZJVrsPkotZhBglRHM9rKvcj1OgkssqhcnoPw8zIaMZTF8c/0, createdBy=4c441942088, createdName=ylzr123, createdTime=Sat Apr 15 06:10:32 CST 2017, time=2017-04-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2049632, encodeId=33d4204963249, content=<a href='/topic/show?id=6b846656949' target=_blank style='color:#2F92EE;'>#滕卫平#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=66569, encryptionId=6b846656949, topicName=滕卫平)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8217292, createdName=yinhl1978, createdTime=Fri Aug 19 10:34:00 CST 2016, time=2016-08-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=52289, encodeId=06f35228974, content=赞, beContent=null, objectType=article, channel=null, level=null, likeNumber=143, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=fe261399236, createdName=xyfg98, createdTime=Tue Jan 05 22:49:00 CST 2016, time=2016-01-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=52099, encodeId=9a715209959, content=Bob, beContent=null, objectType=article, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=43f41674911, createdName=三毛坨, createdTime=Tue Jan 05 13:05:00 CST 2016, time=2016-01-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=52098, encodeId=6b195209851, content=Bob, beContent=null, objectType=article, channel=null, level=null, likeNumber=71, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=43f41674911, createdName=三毛坨, createdTime=Tue Jan 05 13:05:00 CST 2016, time=2016-01-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=52095, encodeId=b2a55209518, content=P, beContent=null, objectType=article, channel=null, level=null, likeNumber=104, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=43f41674911, createdName=三毛坨, createdTime=Tue Jan 05 13:04:00 CST 2016, time=2016-01-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=52097, encodeId=b3d65209e0c, content=Mm, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=43f41674911, createdName=三毛坨, createdTime=Tue Jan 05 13:04:00 CST 2016, time=2016-01-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=52096, encodeId=035a52096ac, content=L, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=43f41674911, createdName=三毛坨, createdTime=Tue Jan 05 13:04:00 CST 2016, time=2016-01-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=52086, encodeId=9b035208633, content=The best, beContent=null, objectType=article, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=43f41674911, createdName=三毛坨, createdTime=Tue Jan 05 13:04:00 CST 2016, time=2016-01-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=52094, encodeId=61db52094f2, content=O, beContent=null, objectType=article, channel=null, level=null, likeNumber=83, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=43f41674911, createdName=三毛坨, createdTime=Tue Jan 05 13:04:00 CST 2016, time=2016-01-05, status=1, ipAttribution=)]
    2016-01-05 三毛坨

    L

    0

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    2016-01-05 三毛坨

    The best

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    2016-01-05 三毛坨

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