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目的探讨甲状腺微小癌(TMC)的术前诊断及治疗原则。方法回顾性分析我院1998年10月—2004年10月收治的68例甲状腺微小癌的临床资料。结果68例微小甲状腺癌,男∶女=1∶2.8,有17例是因甲状腺良性疾病手术后发现为甲状腺微小癌,超声发现51例(75%)可疑微小癌,超声引导下细胞学穿刺检查38例(84.4%)找到癌细胞。结论甲状腺微小癌女性多于男性,以前多因甲状腺良性疾病手术后发现,近年来随着高分辨率的彩色超声的应用及B超引导下细针穿刺检查水平的提高,其发现病例越来越多,微小癌的手术方式主要采用腺叶+峡部切除,甲状腺全切术,有颈部淋巴结转移者可行改良根治术。
Objective To investigate the preoperative diagnosis and treatment of thyroid microcarcinoma (TMC). Methods The clinical data of 68 cases of thyroid microcarcinoma admitted to our hospital from October 1998 to October 2004 were retrospectively analyzed. Results 68 cases of mini thyroid cancer, male: female = 1: 2.8, 17 cases were found to be thyroid microcarcinoma after thyroid benign disease, 51 cases (75%) suspicious tiny tumors were found by ultrasound, cytology puncture under ultrasound guidance 38 cases (84.4%) found cancer cells. Conclusions There are more women with thyroid microcarcinoma than men. Previously, due to benign thyroid disease surgery, in recent years, with the application of high-resolution color ultrasound and the fine needle aspiration examination under the guidance of B-mode ultrasound, more and more cases were found More and more small cancer surgery mainly by the gland lobectomy, isthmus resection, total thyroidectomy, cervical lymph node metastasis may be feasible modified radical mastectomy.