摘要
甲状腺肿瘤直径≤1cm为甲状腺微小癌(TMC),TMC的组织学类型以乳头状癌为主,又称为甲状腺乳头状微小癌(PTMC),其临床症状体征不明显,常伴发其它甲状腺病变,术前诊断较困难。本文回顾性分析了TMC患者的病例资料,对其病理特征和诊治进行探讨。
出处
《浙江医学》
CAS
2008年第9期971-973,共3页
Zhejiang Medical Journal
参考文献14
-
1Orsenigo E, Beretta E, Fiacco E, et al. Management of papillary microcarcinoma of the thyroid gland[J]. Euro J Surg Oncol, 2004, 30 (10):1104-1106.
-
2Pelizzo M R, Boschin I M, Toniato A, et al. Natural history,diagnosis,treatment and outcome of papillary thyroid microcarcinoma (PTMC):a monoinstitutional 12-year experience[J]. Nucl Med Commun, 2004, 25(6):547-552.
-
3Baudin E, Travagli J P, Ropers J, et al, Microcarcinoma of the thyroid gland[J]. Cancer, 1998, 83:553-559.
-
4Hay I D, Grant C S, Van Heerden J A, et al. Papillary thyroid microcarcinoma:a study of 535 cases observed in a 5-year period[J]. Surgery,1992,112:1139-1147.
-
5Fink A, Tomlinson G, Freeman J L, et al. Occult micropapillary carcinoma associated with benign follicular thyroid disease and unrelated thyroid neoplasms[J]. Mod Pathol, 1996,9:816.
-
6梁兆煜,谢学羿,张少锐,区小卫,李日焕,江浩,杨瑞亮.甲状腺良性疾病中微小癌的检出率及其病理特征[J].癌症进展,2004,2(6):487-489. 被引量:10
-
7Ito Y, Uruno T, Nakano K, et al. An observation trial with out surgical treatment in patients with papillary microcarcinoma of the thyroid[J]. Thyroid, 2003,13(4):381-387.
-
8Yamashita H, Nakayama I, Noguchi S. Minute caroinoma of the thyroid and its development to advanced carcinoma [J]. Aota Pathol Jpn,1985,35 (2):377-383.
-
9刘跃武,李小毅,高维生.美、英、日三国分化型甲状腺癌手术指南的比较[J].外科理论与实践,2005,10(6):567-568. 被引量:29
-
10王深明,黄勇.甲状腺手术与喉上神经损伤[J].中国实用外科杂志,2004,24(10):625-627. 被引量:22
二级参考文献44
-
1曾志成,杨科球,王淼,漆光平,邓晓华,姚良权.喉上神经的应用解剖[J].中国临床解剖学杂志,1996,14(1):38-40. 被引量:26
-
2[1]Neuhold N, Kaiser H, Kaserer K. Latent carcinoma of the thyroid in Austria: A systematic autopsy study. Endocr Pathol,2001, 12 (1) :23
-
3[2]Pelizzo MR, Piotto A, Rubello D, et al. High prevalence of occult papillary thyroid carcinoma in a surgical series for benign thyroid disease. Tumori, 1990, 76 (3) :255
-
4[3]Lin JD, Chao TC, Weng HF, et al. Clinical presentations and treatment for 74 occult thyroid carcinoma. Comparison with nonoccult thyroid carcinoma in Taiwan. Am J Clin Oncol, 1996,19 (5) :504
-
5Stojadinovic A,Shaha AR,Orlikoff RF,et al.Prospective functional voice assessment in patients undergoing thyroid surgery.Ann Surg,2002,236(6):823-832
-
6Kark AE,Kissin MW,Auerbach R,et al.Voice changes after thyroidectomy:role of the external laryngeal nerve.BMJ(Clin Res),1984,289(6456 ):1412-1415
-
7Rossi RL,Cady B,Silverman ML.Current results of conservative surgery for differentiated thyroid carcinoma.World Clader J Surg,1986,10(4):612-622
-
8Monfared A.Gorti G.Kim D.Microsurgical anatomy of the laryngeal nerves as related to thyroid surgery.Laryngoscope,2002,112(2):386-392
-
9Friedman M.Lo Savio P.Ibrahim H.Superior laryngeal nerve identification and preservation in thyroidectomy.Arch Otolaryngeal Head Neck Surg,2002,128(3):296-303
-
10Furlan JC.Anatomical study appilied to anesthetic block technique of the superior laryngeal nerve.Acta Anaesthiol Scand,2002,46(2):199-202
共引文献75
-
1钱凯,郭凯,史苑,王卓颖.浅谈分化型甲状腺癌的治疗进展[J].肿瘤,2022,42(1):2-7. 被引量:1
-
2祁强,肖海涛,杨青.梨状窝瘘引起颈部难愈性脓肿3例分析[J].中国误诊学杂志,2009,9(4):974-975.
-
3石福兴,罗运生.甲状腺手术喉上神经损伤临床分析[J].医学文选,2005,24(6):940-941.
-
4孙明生,熊隆信,勒世联,陈红兵.梨状窝瘘的外科治疗(附二例报告)[J].实用临床医学(江西),2006,7(1):65-65. 被引量:1
-
5杨维良,闫朝岐.甲状腺隐匿性微小癌的诊断与治疗[J].临床外科杂志,2006,14(3):135-136.
-
6刘跃武,高维生,唐伟松.应更好地规范甲状腺癌的初次手术[J].中国普外基础与临床杂志,2006,13(3):254-255. 被引量:14
-
7刘家祥,朱玮.甲状腺微小癌42例临床分析[J].宁夏医学杂志,2006,28(10):761-762.
-
8宋明,陈文宽,陈福进,杨安奎,魏茂文.Ⅵ区淋巴清扫在甲状腺癌外科手术中的意义[J].癌症,2006,25(11):1411-1413. 被引量:15
-
9马建仓,金迎迎,赵军,张大华,纪宗正.分化型甲状腺癌手术方式选择及复发因素探讨[J].现代肿瘤医学,2007,15(2):189-192. 被引量:3
-
10孙明生,熊隆信,勒世联,陈红兵.梨状窝瘘的外科治疗二例报告[J].实用临床医学(江西),2007,8(2):46-46.
同被引文献11
-
1李发炎,郑安瑜,陈大良,章迟,薛恩生.甲状腺微小癌的早期诊断和治疗(附34例临床分析)[J].中国肿瘤临床,2005,32(5):275-277. 被引量:22
-
2叶国超,袁文斌,刘力伟.中央区颈淋巴结清扫术对甲状腺微小癌的治疗价值[J].中华肿瘤杂志,2007,29(5):396-398. 被引量:16
-
3Hedinger C, Williams ED, Sobin LH. The WHO histological classification of thyroid turners: a commentary on the cdition[J ]. Cancer, 1989,63(3) :908.
-
4Stewart BW,Kleihues P. World Cancer Report[ M]. Lyon: IARC Press, 2003:26 - 52.
-
5Nobuyuki W, DU QY, Kiminori S, et al. Lymph node metastasis from 259 papillary thyroid microcarcinoma :frequency, pattern of occurrence and recurrence, and optimal strategy for neck dissec- tion. LiDDincott Willams & Wilkins.2003.273:399-401.
-
6范西红,贺青卿,范子义,张小桥.甲状腺微小癌的诊断和治疗[J].中华肿瘤防治杂志,2007,14(19):1480-1482. 被引量:19
-
7JUAN ROSAI.阿克曼外科病理学[M].8版.沈阳:辽宁教育出版社,1999:121-496.
-
8王勇,周纯武,邹霜梅,李琳,宋颖,郝玉芝.甲状腺微小乳头状癌的超声诊断和病理对照研究[J].中国超声医学杂志,2008,24(10):884-887. 被引量:59
-
9狄忠民.甲状腺微小癌诊断和治疗:附52例报告[J].中国普通外科杂志,2008,17(11):1058-1060. 被引量:26
-
10曾先捷,许坚,莫立根,张哲.甲状腺微小癌[J].河南肿瘤学杂志,1999,12(1):30-31. 被引量:11
二级引证文献9
-
1黄祥杰,葛帅群.16例甲状腺微小癌临床病理分析[J].当代医学,2010,16(30):104-104. 被引量:2
-
2赵美丽,范红,杨炜,周云.从甲状腺癌患者的临床资料探讨早期发现甲状腺癌的方法[J].临床荟萃,2011,26(21):1885-1887. 被引量:3
-
3张效志,胡石甫,黄涛.甲状腺微小癌45例临床病理分析[J].当代医学,2013,19(22):16-17. 被引量:1
-
4于波洋,于雷,周洁宏.超声引导下穿刺活检在甲状腺微小癌诊断中的应用[J].重庆医学,2013,42(33):4032-4033. 被引量:19
-
5周文,王丹,张绍兰,吴维玉.结节性甲状腺肿伴微小乳头状癌^(99)Tc^m-甲氧基异丁基异腈显像分析[J].检验医学与临床,2014,11(23):3391-3392. 被引量:3
-
6高慧霞.超声诊断甲状腺微小乳头状癌的价值与临床病理对照[J].中国继续医学教育,2015,7(20):69-70. 被引量:5
-
7张娜,范宏艳,范吉英,张晓静.超声诊断多发性甲状腺微小癌的诊断价值[J].中国医学装备,2015,12(8):82-85. 被引量:9
-
8杨丽娟.甲状腺微小癌临床病理观察[J].中国实用医刊,2015,42(17):19-20. 被引量:1
-
9赵艳丽.甲状腺微小癌55例临床病理分析[J].大家健康(学术版),2014(2):150-151.
-
1黄之宇.基层医院要重视早期肝癌的诊断[J].现代医药卫生,1996,12(4):78-80.
-
2王遵海.19例脑膜瘤诊治体会[J].安徽医学,2010,31(6):627-628.
-
3王伟,张跃康,雷町,蔡博文,毛伯镛.X刀治疗脑转移瘤临床疗效分析[J].四川医学,2001,22(7):612-613. 被引量:3
-
4陆芹,朱俊义,陈锡明.青年人胃癌临床表现特点分析[J].苏州医学院学报,1997,17(2):355-355.
-
5邵成,李安洋.乳腺占位性病变的超声诊断与鉴别[J].中国医药指南,2013,11(33):179-180.
-
6郭建明,林剑兴.小肠肿瘤误诊10例分析[J].福建医药杂志,2004,26(6):191-191.
-
7朱飞跃.干扰素联合达沙替尼治疗慢性粒细胞白血病的疗效探讨[J].当代医学,2015,21(11):5-6. 被引量:1
-
8李俊达,张万岱.青年人胃癌27例分析[J].现代消化病及内镜杂志,1997,2(1):84-84.
-
9张杨卿.养阴排浊汤治疗慢性肾功能不全30例[J].浙江中医杂志,2008,43(6):326-327. 被引量:2
-
10杜峰,李毅星.青年与中老年原发性支气管肺癌的临床对比[J].中国现代药物应用,2011,5(1):79-80. 被引量:1