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目的探讨发现甲状腺微小癌的途径。方法对136例已确诊的甲状腺微小癌患者临床资料进行分析,对甲状腺微小癌可能出现的相关临床症状、阳性率较高的检测手段及诊治原则进行总结。结果 136例中有咽异感症者46例(46/136),所有病例甲状腺彩超均显示肿块直径不超过1.0 cm,内有细碎状钙化点。所有病例均进行了相应的手术,术后随访1年以上均未发现复发。结论咽异症可能与甲状腺微小癌存在关联,甲状腺高频超声检查是发现微小癌的重要手段。早期手术是甲状腺微小癌治疗成功的关键。
Objective To explore the ways of discovering thyroid microcarcinoma. Methods The clinical data of 136 cases of diagnosed thyroid microcarcinoma were analyzed. The possible clinical symptoms, the detection methods with higher positive rate and diagnosis and treatment principle of the microcarcinoma of thyroid were summarized. Results Among the 136 cases, 46 cases (46/136) had pharyngeal sensation, all the cases showed thyroid ultrasonography with a diameter of no more than 1.0 cm. All cases were carried out the corresponding surgery, follow-up more than 1 year were found no recurrence. Conclusion The possible cause of pharyngosis is associated with thyroid microcarcinoma. High-frequency thyroid ultrasound examination is an important method to detect micromegaly. Early surgery is the key to successful thyroid cancer treatment.