甲状腺乳头状癌诊断的体会

Experience in Diagnosis of Papillary Thyroid Carcinoma

目的：探讨甲状腺乳头状癌诊断标准及鉴别诊断。方法：主要结合B超、巨检、镜检和免疫组化方面检查并随访。结果：镜检组织学形态大多可见乳头状结构、毛玻璃样核、假包涵体、核重叠等结构。免疫组化TTF-1、TG等阳性。结论：甲状腺乳头状癌诊断更注重毛玻璃样核、核内假包涵体、核重叠等肿瘤核的特征。

Objective： Explore of papillary thyroid carcinoma diagnostic criteria and differential diagnosis. Methods： Combined with the main B ultrasound, Gross examination, microscopic examination and immunohistochemical examination and follow - up. Results： Mi- croscopic examination of histological morphology are mostly visible papillary structure, ground glass nuclei, intranuclear pseudoinclusions, nuclear overlap structure. Immunohistochemical TTF - 1, TG etc positive. Conclusion： The diagnosis of papillary thyroid carcinoma focus more on ground glass nuclei, nuclear intranuclear pseudoinclusions, nuclear overlapping tumor nuclear features.