分化型甲状腺癌--姚-峰--孙圣荣实习PPT课件.ppt

分化型甲状腺癌的手术治疗 ——甲状腺癌指南解读 ;发病率不断上升;;;NCCN 指南;ATA指南;分化型甲状腺癌手术方式;NCCN指南（甲状腺全切除术）;ATA指南（甲状腺全切除术）;NCCN指南（患侧腺叶全切除术）;ATA指南（患侧腺叶全切除术）;Total thyroidectomy VS Lobectomy（1）;Total thyroidectomy VS Lobectomy （1）;Total thyroidectomy VS Lobectomy （1）;Total thyroidectomy VS Lobectomy （1）;Total thyroidectomy VS Lobectomy （1）;Total thyroidectomy VS Lobectomy （1）;Total thyroidectomy VS Lobectomy（2）;Total thyroidectomy VS Lobectomy （2）;Total thyroidectomy VS Lobectomy （2）;Total thyroidectomy VS Lobectomy （2）;NCCN指南（初次手术后追加全切术）;ATA指南（初次手术后追加全切术）;ATA指南（初次手术后追加全切术）;Completion Thyroidectomy （1）;Completion Thyroidectomy （1）;Completion Thyroidectomy （2）;Completion Thyroidectomy （2）;;;NCCN指南（中央区淋巴结清扫）;ATA指南（中央区淋巴结清扫）;Central Neck Dissection（1）;Central Neck Dissection （1）;Central Neck Dissection（2）;Central Neck Dissection （2）;Central Neck Dissection （2）;Central Neck Dissection （2）;Central Neck Dissection（3）;Central Neck Dissection（4）;Central Neck Dissection （4）;Central Neck Dissection （4）;NCCN指南（颈侧区淋巴结清扫）;ATA指南（颈侧区淋巴结清扫）;Lateral Neck Dissection(1);Lateral Neck Dissection(1);While most now agree that prophylactic lymph node dissections (LND) play no role, at the University of California, San Francisco (UCSF) we limit LND selectively on a level by level basis, and resect only the levels thought to harbor disease or to be at increased risk of metastases. This initial ,selective LND usually includes levels III and IV (due to the well-documented increased likelihood of metastases to these levels) and levels I, II, and V are included when there is clinical or radiological evidence of disease or increased risk of it ;Lateral Neck Dissection(2);Lateral Neck Dissection(2);Lateral Neck Dissection(2);未 来; 谢 谢