甲状腺微小癌的诊断和治疗

Diagnosis and treatment of thyroid mini-carcinoma

目的:研究甲状腺微小癌的生物学特性、临床特点、诊断及治疗方法.方法:回顾性分析1993年10月～2004年10月手术治疗的甲状腺癌204例的临床资料,其中甲状腺微小癌19例, 占同期甲状腺癌病人的9.31%,全部患者均经手术治疗并对其进行随访,随访2个月～10年.结果:(1)甲状腺微小癌与显性甲状腺癌在淋巴结转移上没有明显差异,甲状腺微小癌具有更多的多灶性生长特点,显性甲状腺癌有更多的外侵包膜现象.(2)B超在诊断甲状腺微小癌上有明显优势.结论:甲状腺微小癌与显性甲状腺癌在生物学行为及淋巴结转移上没有明显差异,其治疗应遵循甲状腺癌的治疗原则.

Objective. To elucidate the clinical presentations, diagnosis and treatment in the patients with thyroid mini-carcinoma. Methods. Retrospective analysis on two hundred and four patients treated from 1993 to 2004 in our hospitol. There were 19 cases with thyroid mini-carcinoma （9.31%）. All patients were treated by surgery, and followed up from 2 months to 10 years, Results： （1） Very few incidences of extrothyroid invasion and more mutifocal were found with thyroid mini-carcinoma. But lymphatic metastasis had no significant difference between thyroid mini-carcinoma and thyroid carcinoma cases. （2） There are obviously superious on diagnosis of thyroid mini-carcinoma by ultrasonography, Conclusion. The biological characteritic of thyroid mini-carcinoma accords with that of the same type as thyroid carcinoma. And the relevant treatment also follows on principals of the same type of thyroid carcinoma ,