甲状腺良性疾病合并甲状腺乳头状微癌九例临床分析

Microcarcinoma of Thyroid Detected in Benign Thyroid Diseases (An Analgsis of 9 Cases)

目的：提高甲状腺良性疾病中合并微癌的发现率。方法：本组甲状腺良性疾病528例，均通过术中仔细观察、触诊、剖视标本，对可疑结节快速冰冻切片，高体标本作术后常规连续病理切片。结果：甲状腺良性疾病合并微癌的发生率为1．7％（9／528）。术中发现6例，术后病理检出3例。结论：甲状腺良性疾病可能有微癌共存。术中对甲状腺可疑结节行快速冰冻切片，术后常现连续病理切片是提高微癌发现率的关键。

The purpose of this study is to improve the detection rate of microcarcinoma in benign thyroid disease.528 cases of benign thyroid disease are studied by following. Methods: 1, observing palpation and dissectiong the lesion carefully during operations and carrying out a quick frozen section to the suspicious tubercles. 2, A routine serial pathological section upon the postopertive samples. The results indicated that the incidence rate of benign thyroid disease incorporated with microcarcinoma is 1 .7% (9/528), including 6 cases found during operations and 3 cases by pathological examination after operations. The authors conclude that benign thyroid disease may coexist with microcarcinoma. It is necessary to maintain sharp vigilance. The key to improving the detetion rate of microcarcinoma depends on a quick frozen section upon the suspicious tubercles during operations and a routine serial section after operations.