甲状腺微小癌的诊断与治疗

The diagnosis and treatment of thyroidmicrocarcinoma

目的 探讨甲状腺微小癌的临床诊断和治疗方法.方法 对诊断明确的16例甲状腺微小癌进行回顾性分析.结果 16例均行超声检查,检出微小结节者14例（87.5％）,2例未发现微小结节,漏诊率12.5％.术前4例疑为甲状腺微小癌,12例于术中经快速冰冻病理切片检查确诊.16例中有10例术后无瘤生存时间≥4年.结论 应综合运用B超、细针穿刺细胞学检查、术中快速冰冻病理检查等方法以求提高甲状腺微小癌的检出率,甲状腺微小癌手术治疗的预后较好,但术后仍需长期随访.

Objective To explore the diagnosis and treatment of thyroidmicrocarcinoma. Methods We analyzed 16 patients with thyroidmierocareinoma retrospectively. Results In the 16 cases with thyroidmi-crocarcinoma, only 4 cases were suspect to have thyroid cancer before operation and 12 cases were diagnosed during the operative pathologic diagnosis. Among 16 cases, 10 cases had no-neoplasia survival longer than 4 years after operation. Condusions For innocent thyroid diseases, palpation should be used carefully during the operation and ultrasound should be made for the suspected node. The first operation should be focused on gland with tumor and thyroidectomy should be done and for patients with lymph noddmetastasis cervical lymph node clearance operation should be done. The routine cervical lymph node clearance operation seems unnecessary.