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目的 分析甲状腺微小癌的临床特征和预后 ,并探讨其手术切除范围。方法 回顾分析 1970年 1月至1997年 12月手术治疗的 92例甲状腺微小癌的临床资料。结果 男女之比为 1∶6 0 8,5 5例 (5 9 78% )是在甲状腺良性病变术中或术后发现 ,82例 (89 13 % )为单发癌结节。平均随访 8 5年 ,4例死于局部复发和远处转移。结论 甲状腺微小癌女性发病率高 ,且以单发癌结节为主 ,多数因甲状腺良性病变在术中或术后发现 ,甲状腺微小癌预后较好。
Objective To analyze the clinical features and prognosis of thyroid microcarcinoma and to explore the scope of its resection. Methods The clinical data of 92 thyroid microcarcinomas surgically treated from January 1970 to December 1997 were retrospectively analyzed. Results The ratio of male to female was 1: 60.85 (59.9%). It was found during or after thyroid benign disease that 82 cases (89.13%) had single-cell carcinoma nodules. The average follow-up of 85 years, 4 patients died of local recurrence and distant metastasis. Conclusions The incidence of thyroid microcarcinoma is high in women, and single nodules are the most common ones. Most of thyroid benign lesions are found intraoperatively or postoperatively, and the prognosis of thyroid microcarcinoma is good.