甲状腺微小癌的治疗进展

Progress in the treatment for thyroid microcarcinoma

甲状腺癌即甲状腺组织的癌变,占人体全部恶性肿瘤的1%左右,年发病率约为1.5/10万,是头颈部最常见的恶性肿瘤。自20世纪80年代中期前苏联切尔诺贝利核电站泄露事故以后,甲状腺癌是近20多年发病率增长最快的实体恶性肿瘤,年均增长约6.2%。目前,已是占女性恶性肿瘤第5位的常见肿瘤。甲状腺微小癌（TMC）是指直径≤1.0cm的甲状腺癌,由于癌灶体积小,

Thyroid microcarcinoma（TMC） refers to the diameter less than 1cm in thyroid cancer.In recent years,with high frequency ultrasound and pathology diagnosis technology development and improvement,the incidence of TMC increased dramatically.However,there are a lot of controversy about its complication,treatment methods and value of treatment both in domestic and abroad.In this paper,we review literatures in the passed 5 years both in domestic and abroad,and investigated the progress of treatment for TMC.Agreement on the view ： routine central lymph node dissection should be done regularly in the treatment thyroid microcarcinoma.