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本文对９２例甲状腺癌的多种临床因素进行讨论，并以１０４例甲状腺良性疾病为对照，讨论各临床因素对甲状腺癌的筛选意义。一般认为单发结节甲状腺癌可能性大，多发给节多为良性病变，但本组病例分析，单发结节在良、恶性两组中光显著差异，多发结节恶性可能性与单发结节相近，在乳头状癌中多发结节占３０％，亦有８．７％为左、右两叶同时发现癌灶，因此对于甲状腺多发结节应同单发结节一样重视。①声嘶呛咳；②颈部淋巴结肿大；③体检阳性；④实性冷结节；⑤术中探查阳性，在良、恶两组中有显著差异。具有以上一种因素即应怀疑甲状腺癌，应行术中冰冻检查。由以上５种因素筛选甲状腺癌敏感性为９２、３９％，特异性为８７．５０％。
This article discusses 92 cases of thyroid cancer with multiple clinical factors, and 104 cases of thyroid benign disease as a control to discuss the significance of each clinical factor screening for thyroid cancer. It is generally believed that solitary thyroid cancer is more likely to occur, and multiple nodes are often benign. However, in this group of patients, the single nodule was significantly different in the benign and malignant groups, and the multiple nodules were likely to be malignant and single. Similar nodules, multiple nodules in papillary carcinoma accounted for 30%, 8.7% also found the left and right lobe at the same time, so the multiple nodules for the thyroid should be as important as a single nodule. 1 choking cough; 2 lymph node enlargement in the neck; 3 positive physical examination; 4 solid cold nodules; 5 intraoperative exploration positive, there are significant differences in the good and evil groups. With one of the above factors suspected thyroid cancer should be suspected, intraoperative frozen examination should be performed. The susceptibility of thyroid cancer screening was 92.9% and the specificity was 87.50%.