摘要
目的 探讨甲状腺微小癌诊断和外科治疗的经验。方法 对诊断明确的 31例甲状腺微小癌进行回顾性分析。结果 31例均于术中冰冻和术后病理检查确诊。乳头状腺癌 2 6例 ,滤泡性腺癌 5例。伴颈淋巴结转移 2例。 2 0例合并甲状腺良性疾病。 31例中 4例术后无瘤生存时间≥ 1 0年 ,1 3例术后无瘤生存时间≥ 5年。结论 甲状腺微小癌术前不易诊断 ,对甲状腺良性疾病手术时应仔细 ,对可疑结节行冰冻切片 ,术后常规连续病理切片以提高发现率。首次手术应行患侧腺叶切除术 。
Objective To explore the experience in the diagnosis and surgical treatment of thyroid microcarcinoma.Methods Thirty one cases difinite diagnosed as thyroid microcarcinoma were analysed retrospectively.Results Thirty one cases were definite diagnosed by introperative frozen section and postoperative pathological exam ination.Twenty six cases were diagnosed as papillary carcinoma and 5 cases as follicular carcinoma.Neck lymphonodus metastasis was found in 2 cases.Twenty cases were complicated with benign diseases of thyroid.The cancer free survival time greater than or equal to ten years was found in 4 cases and greater than or equal to five years in another 13 cases.Conclusion Thyroid microcarcinoma is difficult to be diagnosed before operation.Careful inspection is necessary during operations for benign diseases of thyroid.Introperative frozen section of suspected thyroid nodular,and postoperative regular consecutive section will elevate the detection rate of microcarcinoma.The first operation should be ipsilateral lobectomy.The modified neck dissection should be done after the diagnosis of lymphatic metastasis and so can still make better curative effect.
出处
《中国基层医药》
CAS
2003年第5期404-405,共2页
Chinese Journal of Primary Medicine and Pharmacy
