对４１例伴有淋巴结或血行转移的隐匿性甲状腺癌进行回顾性临床分析。颈淋巴结转移３８例，血行转移３例。转移与病理类型有关，与原发灶大小无关。认为隐匿性甲状腺癌生物学特性与其同类型甲状腺癌相符合，应遵循同类型甲状腺癌的治疗原则 A retrospective clinical analysis of 41 cases of occult thyroid carcinoma with lymph nodes or blood metastases was performed. There were 38 cases of cervical lymph node metastases and 3 cases of blood metastases. Metastases are associated with pathological types and have nothing to do with the size of the primary tumor. It is considered that the biological characteristics of occult thyroid cancer are consistent with the same type of thyroid cancer, and the treatment principles of the same type of thyroid cancer should be followed.