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甲状腺微小癌(thyroid microcarcinoma,TMC)指癌灶直径≤1.0cm的甲状腺癌,由于癌灶体积小、发病隐匿、病情进展缓慢、无明显临床症状,并且常与甲状腺其他疾病并存,导致术前诊断困难,存在一定的漏诊和误诊,但其预后良好,因此治疗方式存有较大争议,本文就TMC的诊断和治疗现状作一综述。1 TMC的定义1998年WHO在甲状腺癌的组织学分类标准中规定,将癌灶直径≤1.0cm的甲状腺癌定义为
Thyroid microcarcinoma (thyroid microcarcinoma, TMC) refers to the thyroid cancer with a diameter less than or equal to 1.0cm in the foci. Due to its small size, hidden pathogenesis, slow progression, no obvious clinical symptoms, and often co-exist with other thyroid diseases, leading to preoperative diagnosis Difficulties, there is a certain misdiagnosis and misdiagnosis, but the prognosis is good, so the treatment there is a big controversy, this article on the status of diagnosis and treatment of TMC are reviewed. 1 The definition of TMC 1998 WHO in histological classification of thyroid cancer provides that the definition of thyroid cancer with tumor diameter ≤ 1.0cm is defined as