甲状腺癌的病理、诊断及外科治疗

Pathology, diagnosis and surgical treatment of ttyroid carcinoma

２７年中共收治甲状腺恶性肿瘤１１１例，其中甲状腺癌１０８例。男２４，女８７例。平均年龄４０．９岁。肿瘤质硬者４７％，较硬者３４％。“冷”结节７０．４％。Ｔ３、Ｔ４正常者９５．４％。手术治疗１０８例。其中行患侧全切、对侧次全切２８％，患侧次全切１８％，传统或改良颈淋巴结清除１１．１％／１，９％，双侧次全切除９．３％，患侧全切或患者全切加峡部切除各８．３％，其他７．４％。对甲状腺癌的病理、诊断和手术方式进行了讨论。强调术中应常规行冰冻切片检查，并根据病理诊断选择合理的术式。

ne hundred and eleven with malignant thyroid tumor were reported, including 24males and 87 females’ with mean age of 40.9years.One hundred and eight of them hadthyroide cancers。81%of the patients had solid tumors。70.4 96 of the tumors were“ cold” nodules,Incidence of papillary, follicular, mixed papillary and follicular,medullary andanaplastic cancers were 6896, 16%,3.1%,3.996and 2.9% respectively。 Operationsinvolved complete lobectomy(28%),ipsilateral subtotal lobectomy(18 %), classical ormodified radical neck dissection(11.1%,1.9%), bilateral subtotal lobectomy(9.3%),ipsilateral complete lobectomy(8.3%)and subtotal lobectomy with isthmectomy(8.3%)。Postoperative complications,included recurrence and superior taryngeal nerve injury and hy- Poparathyroidism,with incidence of 4.6%,0.9%and 4.6%respectively. Pathology, di-agnosi s and surgical princi ples we re disc ussed.Frozen sect ion was emphasized during opera- tlon。