分化型甲状腺微小癌45例报告

Differentiated microcarcinoma of the thyroid gland in 45 cases

目的 :通过对一组分化型甲状腺微小癌的回顾性分析 ,为其临床诊断和治疗提供客观依据。方法 :对 45例甲状腺微小癌患者行同侧甲状腺全切除术加对侧甲状腺大部切除术加同侧功能性颈淋巴结清扫术。结果 :经病理证实的淋巴结转移有 11例 ,占 2 4.4%。无一例出现手术并发症 ,45例均治愈。全部病例均随访至今 ,无一例死亡或复发。结论 :甲状腺微小癌的淋巴结转移率较高 ,采取同侧甲状腺全切除术加对侧甲状腺大部切除术加同侧功能性颈淋巴结清扫术 ,是有效和必要的治疗方法。

Objective:To offer therapeutic management for patients with microcarcinoma of the thyroid gland (TMC).Method:Forty five patients with TMC were treated from 1993,including 10 males and 35 females. Homolateral total thyroidectomy + contralateral subtotal thyroidectomy+homolateral functional neck dissection was taken as routine. Result:Among 168 patients with differentiated carcinoma of the thyroid gland,45 patients were TMC ( 26.78 %). Homolateral metastasis of lymph node presented in 11 ( 24.44 %) of the TMC patients. No operation complications. All patients were followed up. No recurrence, no death.Conclusion:The lymph node metastasis appears to be high. Homolateral total thyroidectomy+contralateral subtotal thyroidectomy+homolateral functional neck dissection was effctive and essential.