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目的:分析和研究甲状腺微小癌的临床病理特点。方法:选我院与大同市三医院2011年2月至2015年1月期间被诊断为甲状腺微小癌并进行治疗的患者100例回顾性分析。结果:96例患者在术中已经确诊,使用癌变侧甲状腺的全切联合峡部切手术。4例患者术中冰冻病理结果为良性病变,使用单侧叶全切或次全切联合峡部切手术。结论:甲状腺微小癌多为单发结节,手术前很难明确诊断,需依靠病理镜下诊断。淋巴结无转移可不用清扫淋巴结。
Objective: To analyze and study the clinicopathological features of thyroid microcarcinoma. Methods: A retrospective analysis of 100 patients with thyroid microcarcinoma who were diagnosed as thyroid microcarcinoma during the period from February 2011 to January 2015 in our hospital and Datong City Third Hospital was retrospectively analyzed. RESULTS: Ninety-six patients had been diagnosed intraoperatively with total thyroidectomy combined with isthmus resection of the cancerous side. Four cases of intraoperative pathological results of frozen pathology as benign lesions, the use of unilateral lobectomy or subtotal resection combined with isthmic resection. Conclusion: Most thyroid microcarcinomas are solitary nodules. It is difficult to confirm the diagnosis before the operation, and it needs to be diagnosed by pathology. No lymph node metastasis without lymph node dissection.