甲状腺乳头状癌的病理诊断分析

Analysis of Pathological Diagnosis of Thyroid Papillary Carcinoma

目的探讨甲状腺乳头状癌的病理诊断分析。方法选取2011年10月—2014年10月在该病理科进行甲状腺乳头状癌的病理诊断的137例患者作为研究对象,并对其病理资料进行回顾性分析。结果甲状腺乳头状癌可分为八个亚型,137例患者中,弥漫硬化型乳头状癌49例,占35.8%,弥漫滤泡型乳头状癌41例,占29.9%,高柱状细胞乳头状癌17例,占12.4%,小梁状乳头状癌7例,占5.1%,去分化型乳头状癌5例,占3.6%?,嗜酸细胞型乳头状癌8例,占5.8%,包膜型乳头状癌7例,占5.1%,微小型乳头状癌3例,占2.2%。镜下可见乳头分枝多,癌细胞分化程度不一,核染色质少,无核仁。结论甲状腺乳头状癌是甲状腺癌中最常见的类型,预后较好,及早进行病理诊断分析,可以大大的提高患者的生活质量。

Objective To investigate the pathological diagnosis of thyroid papillary carcinoma. Methods From 2011 October-2014 October in our department of pathology of thyroid papilary carcinoma and pathological diagnosis of 137 patients as the research object, The pathological data were retrospectively analyzed. Results Papillary thyroid carcinoma can be divided into eight subtypes, In 137 cases, diffuse sclerosing variant of papillary carcinoma in 49 cases, accounting for 35.8%, diffuse follicular variant of papillary carcinoma in 41 cases, accounting for 29.9%, tall columnar cells of papillary carcinoma in 17 cases, accounting for12.4% of trabecular, papillary carcinoma in 7 cases, accounting for 5.1%, dedifferentiated papillary carcinoma in 5 cases, accounting for 3.6%, oncocytic papillary carcinoma in 8 cases, accounting for 5.8%,coated papillary carcinoma in 7 cases, accounting for 5.1%, 3 cases of small type of papillary carcinoma, accounting for 2.2%. Microscopically visible nipple much branching,degree of cancer cell differentiation is not afew, the nuclear chromatin, no nucleoli. Conclusion Papillary thyroid carcinoma is the most common type of thyroid carcinoma with good prognosis, early pathological diagnosis analysis, can greatly improve the quality of life of the patients.