65例甲状腺微小癌的临床病理特点  

Pathological Study of Thyroid Micro-carcinoma 65 Cases

作　　者：任艳彩[1] 夏素琴[1] 胡秀赟[1] 

机构地区：[1]河南大学第一附属医院,开封市475001

出　　处：《医药论坛杂志》2005年第6期29-30,共2页Journal of Medical Forum

摘　　要：目的分析甲状腺微小癌的临床病理特征和预后,探讨诊断要点及手术切除范围。方法回顾分析65例甲状腺微小癌的临床病理资料。结果甲状腺微小癌的发病率占同期甲状腺癌的17.2%,本组47(72.3%)例是在甲状腺良性病变中发现的,18(27.7%)例是在颈淋巴结转移后,进一步复查甲状腺才发现的。组织类型以乳头状腺癌为主,女性多发,男女比为1:7.1。结论甲状腺微小癌以单发癌结节为主,带瘤生存期最长,多数在甲状腺良性病变手术时或术后偶然发现,属低度恶性肿瘤,如第一次手术范围适当预后良好。Objective To investigate the pathological character of papillary thyroid microcarcinoma and prognosis, to determine diagnosis points and the resection extent. Methods Pathological examination of 65 cases with thyroid microcarcinoma (TMC) had been reviewed and analyzed.Results Thyroid microcarcinoma rate is 17.2% of thyroid tumors in the study period. 47 patients (72.3%)were diagnosed as thyroid microcarcinoma during surgery of benign tumor of thyroid. 18 patients(27.7%)were found from countercheck of thyroid because of cancerometastasis of lymphonodi cervicales. In most TMC, pathological section appeared papillary adenocarcinoma. The chance of female is higher than male (1:7.1) .Conclusion Thyroid microcarcinoma mainly appeared as cancerous node, tubercular striate style had the longest survival period. Most TMC are discovered incidentally during or after benign thyroid operations, malignancy grade is low and has an excellent prognosis if managed by initially resection.

关 键 词：甲状腺微小癌 临床病理特点 甲状腺良性病变 临床病理特征 手术切除范围 临床病理资料 颈淋巴结转移 低度恶性肿瘤 乳头状腺癌 诊断要点 回顾分析 甲状腺癌 组织类型 手术范围 发病率 癌结节 生存期 手术时 预后 

分 类 号：R736.1[医药卫生—肿瘤] R735.2[医药卫生—临床医学]