Rational Management of Thyroid Cancer Incidentally Found During and after Thyroid Nodule Surgery_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

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孙辉 , 刘晓莉

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甲状腺结节; 甲状腺癌; 外科治疗

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Citation： 孙辉,刘晓莉. Rational Management of Thyroid Cancer Incidentally Found During and after Thyroid Nodule Surgery. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2011, 18(8): 785-789. doi: Copy

1.	Kang HW, No JH, Chung JH, et al. Prevalence, clinical and ultrasonographic characteristics of thyroid incidentalomas [J]. Thyroid, 2004, 14(1): 2933.
2.	Erbil Y, Barbaros U, Salmaslioglu A, et al. Effect of thyroid gland volume in preoperative detection of suspected malignant thyroid nodules in a multinodular goiter [J]. Arch Surg, 2008, 143(6): 558563.
3.	Wilhelm SM, Robinson AV, Krishnamurthi SS, et al. Evaluation and management of incidental thyroid nodules in patients with another primary malignancy [J]. Surgery, 2007, 142(4): 581586.
4.	梁兆煜，谢学羿，张少锐，等．甲状腺良性疾病中微小癌的检出率及其病理特征 [J]．癌症进展， 2004， 2（6）： 487489．.
5.	Ravetto C, Colombo L, Dottorini ME. Usefulness of fineneedle aspiration in the diagnosis of thyroid carcinoma: a retrospective study in 37 895 patients [J]. Cancer, 2000, 90(6): 357363.
6.	NamGoong IS, Kim HY, Gong G, et al. Ultrasonographyguided fineneedle aspiration of thyroid incidentaloma: correlation with pathological findings [J]. Clin Endocrinol (Oxf), 2004, 60(1): 2128.
7.	Papini E, Guglielmi R, Bianchini A, et al. Risk of malignancy in nonpalpable thyroid nodules: predictive value of ultrasound and colorDoppler features [J]. J Clin Endocrinol Metab, 2002, 87(5): 19411946.
8.	Lin JD, Hsuen C, Chen JY, et al. Cystic change in thyroid cancer [J]. ANZ J Surg, 2007, 77(6): 450454.
9.	Choi KU, Kim JY, Park DY, et al. Recommendations for the management of cystic thyroid nodules [J]. ANZ J Surg, 2005, 75(7): 537541.
10.	Liu J, Singh B, Tallini G, et al. Follicular variant of papillary thyroid carcinoma: a clinicopathologic study of a problematic entity [J]. Cancer, 2006, 107(6): 12551264.
11.	Pearce EN, Braverman LE. Papillary thyroid microcarcinoma outcomes and implications for treatment [J]. J Clin Endocrinol Metab, 2004, 89(8): 37103712.
12.	Pacini F, Elisei R, Capezzone M, et al. Contralateral papillary thyroid cancer is frequent at completion thyroidectomy with no difference in low and highrisk patients [J]. Thyroid, 2001, 11(9): 877881.
13.	Datta RV, Petrelli NJ, Ramzy J. Evaluation and management of incidentally discovered thyroid nodules [J]. Surg Oncol, 2006, 15(1): 3342.
14.	Sakorafas GH, Giotakis J, Stafyla V. Papillary thyroid microcarcinoma: a surgical perspective [J]. Cancer Treat Rev, 2005, 31(6): 423438.
15.	Mazzaferri EL. What is the optimal initial treatment of lowrisk papillary thyroid cancer (and why is it controversial)? [J]. Oncology (Williston Park), 2009, 23(7): 579588.
16.	吕新生．提高甲状腺癌患者的治疗效果及生活质量 [J]．中国普外基础与临床杂志， 2004， 11（6）： 481482．.
17.	周素梅，张筱骅．甲状腺多发结节伴甲状腺癌的诊治分析 [J]．临床肿瘤学杂志， 2005， 10（2）： 186188．.
18.	Cerci C, Cerci SS, Eroglu E, et al. Thyroid cancer in toxic and nontoxic multinodular goiter [J]. J Postgrad Med, 2007, 53(3): 157160.
19.	Ito Y, Uruno T, Nakano K, et al. An observation trial without surgical treatment in patients with papillary microcarcinoma of the thyroid [J]. Thyroid, 2003, 13(4): 381387.
20.	Gough J, Scottcoombes D, Fausto PF. Thyroid incidentaloma: an evidencebased assessment of management strategy[J]. World J Surg, 2008, 32(7): 12641268.
21.	孙辉，刘晓莉．全甲状腺切除术治疗甲状腺癌适应证选择及并发症防治 [J]．中国实用外科杂志， 2011， 31（5）： 388391．.
22.	Podnos YD, Smith D, Wagman LD, et al. The implication of lymph node metastasis on survival in patients with welldifferentiated thyroid cancer [J]. Am Surg, 2005, 71(9): 731734.
23.	Gough J, Scottcoombes D, Fausto PF. Thyroid incidentaloma: an evidencebased assessment of management strategy [J]. World J Surg, 2008, 32(7): 12641268.
24.	任国胜，苏新良．分化型甲状腺癌颈淋巴结清扫术式的选择 [J]．中国普外基础与临床杂志， 2010， 17（8）： 765767．.
25.	So YK, Seo MY, Son YI. Prophylactic central lymph node dissection for clinically nodenegative papillary thyroid microcarcinoma:influence on serum thyroglobulin level, recurrence rate,and postoperative complications [J]. Surgery, 2011, 13(3): 252253.
26.	康增寿. 131I治疗甲状腺癌 [J]. 中国普外基础与临床杂志, 2006, 13(3): 252253.
27.	Roach JC, Heller KS, Dubner S, et al. The value of frozen section examinations in determining the extent of thyroid surgery in patients with indeterminate fineneedle aspiration cytology [J]. Arch Otolaryngol Head Neck Surg, 2002, 128(3): 263267.
28.	刘永锋．加强分化型甲状腺癌的规范化治疗 [J]．中国普外基础与临床杂志， 2009， 16（5）： 341343．.

1. Kang HW, No JH, Chung JH, et al. Prevalence, clinical and ultrasonographic characteristics of thyroid incidentalomas [J]. Thyroid, 2004, 14(1): 2933.
2. Erbil Y, Barbaros U, Salmaslioglu A, et al. Effect of thyroid gland volume in preoperative detection of suspected malignant thyroid nodules in a multinodular goiter [J]. Arch Surg, 2008, 143(6): 558563.
3. Wilhelm SM, Robinson AV, Krishnamurthi SS, et al. Evaluation and management of incidental thyroid nodules in patients with another primary malignancy [J]. Surgery, 2007, 142(4): 581586.
4. 梁兆煜，谢学羿，张少锐，等．甲状腺良性疾病中微小癌的检出率及其病理特征 [J]．癌症进展， 2004， 2（6）： 487489．.
5. Ravetto C, Colombo L, Dottorini ME. Usefulness of fineneedle aspiration in the diagnosis of thyroid carcinoma: a retrospective study in 37 895 patients [J]. Cancer, 2000, 90(6): 357363.
6. NamGoong IS, Kim HY, Gong G, et al. Ultrasonographyguided fineneedle aspiration of thyroid incidentaloma: correlation with pathological findings [J]. Clin Endocrinol (Oxf), 2004, 60(1): 2128.
7. Papini E, Guglielmi R, Bianchini A, et al. Risk of malignancy in nonpalpable thyroid nodules: predictive value of ultrasound and colorDoppler features [J]. J Clin Endocrinol Metab, 2002, 87(5): 19411946.
8. Lin JD, Hsuen C, Chen JY, et al. Cystic change in thyroid cancer [J]. ANZ J Surg, 2007, 77(6): 450454.
9. Choi KU, Kim JY, Park DY, et al. Recommendations for the management of cystic thyroid nodules [J]. ANZ J Surg, 2005, 75(7): 537541.
10. Liu J, Singh B, Tallini G, et al. Follicular variant of papillary thyroid carcinoma: a clinicopathologic study of a problematic entity [J]. Cancer, 2006, 107(6): 12551264.
11. Pearce EN, Braverman LE. Papillary thyroid microcarcinoma outcomes and implications for treatment [J]. J Clin Endocrinol Metab, 2004, 89(8): 37103712.
12. Pacini F, Elisei R, Capezzone M, et al. Contralateral papillary thyroid cancer is frequent at completion thyroidectomy with no difference in low and highrisk patients [J]. Thyroid, 2001, 11(9): 877881.
13. Datta RV, Petrelli NJ, Ramzy J. Evaluation and management of incidentally discovered thyroid nodules [J]. Surg Oncol, 2006, 15(1): 3342.
14. Sakorafas GH, Giotakis J, Stafyla V. Papillary thyroid microcarcinoma: a surgical perspective [J]. Cancer Treat Rev, 2005, 31(6): 423438.
15. Mazzaferri EL. What is the optimal initial treatment of lowrisk papillary thyroid cancer (and why is it controversial)? [J]. Oncology (Williston Park), 2009, 23(7): 579588.
16. 吕新生．提高甲状腺癌患者的治疗效果及生活质量 [J]．中国普外基础与临床杂志， 2004， 11（6）： 481482．.
17. 周素梅，张筱骅．甲状腺多发结节伴甲状腺癌的诊治分析 [J]．临床肿瘤学杂志， 2005， 10（2）： 186188．.
18. Cerci C, Cerci SS, Eroglu E, et al. Thyroid cancer in toxic and nontoxic multinodular goiter [J]. J Postgrad Med, 2007, 53(3): 157160.
19. Ito Y, Uruno T, Nakano K, et al. An observation trial without surgical treatment in patients with papillary microcarcinoma of the thyroid [J]. Thyroid, 2003, 13(4): 381387.
20. Gough J, Scottcoombes D, Fausto PF. Thyroid incidentaloma: an evidencebased assessment of management strategy[J]. World J Surg, 2008, 32(7): 12641268.
21. 孙辉，刘晓莉．全甲状腺切除术治疗甲状腺癌适应证选择及并发症防治 [J]．中国实用外科杂志， 2011， 31（5）： 388391．.
22. Podnos YD, Smith D, Wagman LD, et al. The implication of lymph node metastasis on survival in patients with welldifferentiated thyroid cancer [J]. Am Surg, 2005, 71(9): 731734.
23. Gough J, Scottcoombes D, Fausto PF. Thyroid incidentaloma: an evidencebased assessment of management strategy [J]. World J Surg, 2008, 32(7): 12641268.
24. 任国胜，苏新良．分化型甲状腺癌颈淋巴结清扫术式的选择 [J]．中国普外基础与临床杂志， 2010， 17（8）： 765767．.
25. So YK, Seo MY, Son YI. Prophylactic central lymph node dissection for clinically nodenegative papillary thyroid microcarcinoma:influence on serum thyroglobulin level, recurrence rate,and postoperative complications [J]. Surgery, 2011, 13(3): 252253.
26. 康增寿. 131I治疗甲状腺癌 [J]. 中国普外基础与临床杂志, 2006, 13(3): 252253.
27. Roach JC, Heller KS, Dubner S, et al. The value of frozen section examinations in determining the extent of thyroid surgery in patients with indeterminate fineneedle aspiration cytology [J]. Arch Otolaryngol Head Neck Surg, 2002, 128(3): 263267.
28. 刘永锋．加强分化型甲状腺癌的规范化治疗 [J]．中国普外基础与临床杂志， 2009， 16（5）： 341343．.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Rational Management of Thyroid Cancer Incidentally Found During and after Thyroid Nodule Surgery

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