摘要
目的探讨结节性甲状腺肿(NG)合并甲状腺微小癌(TMC)的发生概率及其临床特征,为临床诊治TMC提供依据。方法回顾性分析580例在术前诊断为NG的临床资料,其中28例术后病理诊断为NG合并TMC,统计TMC的发生概率、术中确诊率、漏诊率、复发率及预后。结果 NG合并TMC的发生概率为4.82%(28/580),术中对28例患者做冰冻切片病理检查,25例诊断为NG合并TMC,确诊率为89.28%(25/28),术中冰冻病理检查的漏诊率为10.71%(3/28),术后局部复发率为3.57%(1/28)。本组患者中未发现因甲状腺微小癌死亡者。结论 NG合并TMC术前诊断较为困难,术中仔细探查和快速冰冻切片病理检查有助于提高TMC的诊断率。
Objective To explore the probability and clinical characteristics of nodular goiter （NG） with coexistent thyroid microcarcinoma（TMC）, in order to provide basis for clinical diagnosis and treatment of TMC. Methods The clinical data of 580 patients were preoperative diagnosed of nodular goiter, 28 patients were postoperative pathological diagnosed of NG with TMC, to count the probability of thyroid microcarcinoma, intraoperative diagnosis rate, intraoperative misdiagnosis rate, recurrence rate and prognosis. Results The probability of NG with coexistent TMC was 4.82%（28/580）, 28 cases were diagnosed by rapid frozen section intraoperative, the intraoperative diagnosis rate was 89.28%（25/28）, missed intraoperative diagnosis of thyroid microcarcinoma rate was 10.71%（3/28）, recurrence rate was 3.57%（1/28）. Conclusion It was difficult to diagnose NG with TMC preoperatively.The thyroid microcarcinoma diagnostic accuracy rate could be improved by intraoperative careful exploration and intraoperative rapid frozen section.
出处
《中国医药科学》
2013年第22期195-196,共2页
China Medicine And Pharmacy
关键词
结节性甲状腺肿
甲状腺微小癌
病理检查
诊治
Nodular goiter
Thyroid microcarcinoma
Pathological examination
Diagnosis and treatment
