甲状腺微小癌临床分析

Papillary microcarcinoma of the thyroid on 28 cases

目的探讨甲状腺乳头状微小癌的临床特征、诊断和治疗方法.方法回顾性分析1986～2004年间收治并经病理证实的28例甲状腺乳头状微小癌患者的临床资料.结果因甲状腺良性病变手术而发现微小癌18例,另有10例术前怀疑为癌,经活检发现微小癌.颈部淋巴转移6例.腺叶多发结节转移的发生率显著高于单发结节.结论术前触诊、B超检查、术中探查及冰冻组织切片对提高甲状腺乳头状微小癌的诊断非常重要.根据病情选择不同的切除范围,疗效是同样的.

Objective To inestigate the biological behavior,clinical characteristics,diagnosis and therapy of papillary thyroid microcinoma（PTMC）. Methods The clinical data of 28 cases with PTMC treated and confirmed by pathology from 1986 to 2004 were retrospectively analyzed. Results PTMC was found in 18 cases incidentally from thyroid specimens removed for supposed benign disease, another 10 cases were doubtful of cancer before operation and were identified by biopsy. Conclusion Careful palpation,B type ultrasonography,exploratory operation and frozen section and very important factors to heighten diagnosis of PTMC.