甲状腺癌28例误诊原因分析

ANALYSIS OF COMMON CAUSES OF ERRONEOUS DIAGNOSIS OF 28 CASES OF THYROID CARCINOMA

甲状腺癌误诊的常见原因是对其发病特点认识不足,术前临床资料不■实,术中处理不够慎重。为减少临床误诊应采取综合措施。包括提高对此病诊断的警惕性,认真行颈部触诊,综合分析各项检查结果,依靠穿刺细胞学检查和术中冰冻切片以及石蜡块组织学检查而最后确诊。

From April 1979 to December 1991, 28 cases of thyroid cancer were misdiagnoscd. Retrospectiue analysis shows that the common causes leading to misdiagnosis of theses cases include insufficient learning incidence and characteristic of thyroid cancer, lack of scrunity in evaluation of all clinical relevant findings preoperatively and lack of cautious observation during the operation. In our opinion, careful palpation on the neck, comprehensive analysis all relevant findings are of vital importance to avoid the misdiagnosis. The definite diagnosis can be made depending on the fine—needle aspiration for cytological examination, frozen slide during the operation, and paraffin slide for histopathologic examination.