摘要
目的探讨甲状腺癌囊性变的临床特点和外科治疗方法。方法对1994～2008年收治的25例甲状腺癌囊性变病例的临床资料进行回顾性分析。结果甲状腺癌囊性变临床缺乏特异性，术前诊断率很低，而误诊率却很高。相关病例术前只有1例确证，3个误诊病例在石蜡切片确诊后行再次手术。结论临床医师应提高认识。超声、细针穿刺活检及术巾冰冻切片病理检查可提高诊断率。误诊病例应及时冉次手术。
Objective To explore the clinical features and treatment of the cystic change of thyroid cancer. Methods A retrospective analysis was made based on the clinical data of 25 patients with cystic change of thyroid cancer from 1994 to 2008. Results Lacking the specificity in clinical diagnose, the diagnosis accuracy of the disease before operation was very. low and the misdiagnosis rate was very high. Among 25 cases, only one was accurately diagnosed before operation, 3 were reoperated after the accurate diagnosis by using intra-operative frozen section examination. Conclusions Clinical physicians should raise their awareness to such a disease. To improve the accurate diagnosis of the misdiagnosis of the cystic degeneration of thyroid cancer, clinical physicians should integrate the examinations including B-ultrasound, preoperative fine-needle aspiration biopsy,and intra-operative frozen pathological section.
出处
《国际外科学杂志》
2010年第1期41-42,共2页
International Journal of Surgery
关键词
甲状腺肿瘤
囊肿
诊断
治疗
Thyroid cancer
Cyst
Diagnosis
Treatment
