摘要
目的:探讨甲状腺隐匿性癌的诊断与治疗。方法:回顾性分析30例甲状腺隐匿性癌的临床资料。结果:7例术前获得诊断;18例行患侧腺叶加峡部切除术,其中4例加颈部淋巴结清扫术。5例行双侧腺叶次全切除术;病理见30例癌灶位于单侧腺叶,有淋巴结转移3例。随访30例,平均随访时间5年。1例死于肺转移。结论:治疗应选择一侧腺叶全切或次全切除术。癌肿穿透甲状腺被膜或已有颈淋巴结转移者应行颈淋巴结清扫术。
Objective： To investigate the diagnosis and treatment of occult thyroid carcinoma（OCT）. Methods： Retrospective analysis on the clinical data of 30 cases of OCT was made. Results： Only 7 cases were preoperatively diagnosed as OCT. Total resection of the affected lobe and isthmus was performed on 18 cases with neck dissection in 4 cases. Subtotal thyroidectomy was performed on 5 cases. The occult cancer lesion was pathologically confirmed within ipsolateral lobe in all the 30 cases. Neck lymph node metastasis was found in 3 cases. Thirty cases were followed up for an average of 5 years, one died of lung metastasis. Conclusion： Total thy- roidectomy of a lobe or subtotal thyroidectomy was the therapy of choice. Local infiltration or neck lymph node metastasis necessitates additional neck dissection.
出处
《医学理论与实践》
2005年第12期1397-1398,共2页
The Journal of Medical Theory and Practice
关键词
甲状腺
隐匿性癌
诊断
治疗
Thyroid, Occult carcinoma, Diagnosis, Treatment
