甲状腺微小癌66例临床病理回顾性分析

Clinical pathology analysis of 66 cases thyroid microcarcinoma

为了探讨甲状腺微小癌(TMC)的临床诊断和治疗方法,对诊断明确的66例TMC进行回顾性分析。术前32例疑为甲状腺癌,34例均于术中冷冻和术后病理确诊。47例合并甲状腺良性疾病,伴颈淋巴结转移8例。初步研究结果提示,TMC术前不易确诊,且易漏诊,对甲状腺良性疾病手术时应仔细触诊,术中均应行冷冻切片。高频彩超提示,甲状腺结节中的微钙化(砂粒样钙化)是术前诊断甲状腺癌(乳头状癌)特异性最高的指标。

The objective of this study was to summarize clinical diagnosis for thyroid minimal cancer and its therapeutic experience.Retrospectively analyse 66 cases with thyroid minimal cancer that are diagnosed definitely.Totally 32 cases were suspect to have thyroid cancer before operation,and the rest 34 cases were diagnosed definitely during the operation and postoperative pathologic diagnosis.Totally 47 cases have complication of it nomalignancy,and 8 cases were accompanied by cervical part lymph nod metastasis.Thyroid minimal cancer is not diagnosed easily and sometimes misdiagnosed.To thyroid nomalignancy diseases,palpation should be used carefully during the operation and ultra cryotomy should be made to the suspected nod.Microcalcification in Thyroid cancer with high resolution sonography is the most value.The first time operation should be on the side of gland and pharyx and the part of other sides ectomy with central lymph nod clearance operation.