甲状腺微小乳头状癌的临床病理分析  

Clinical pathology analysis of papillary microcarcinoma of thyreoidea

作　　者：单慧敏[1] 陈琳[1] 杨其六[1] 

机构地区：[1]大丰市人民医院病理科,江苏大丰224100

出　　处：《临床肿瘤学杂志》2009年第2期170-172,共3页Chinese Clinical Oncology

摘　　要：目的:探讨甲状腺微小乳头状癌的临床病理特点。方法:对10例原发性甲状腺微小乳头状癌临床和病理资料进行复习,重新阅片确诊。结果:男性1例,女性9例,年龄18～56岁,平均42.2岁。形态特征:癌灶呈结节状或纤维瘢痕状,边界不清,灰白色,质较硬,直径约为0.3～1.0cm,癌组织有纤维血管轴心的复杂分支乳头状结构及毛玻璃核、核内假包涵体、核沟,纤维间质反应及砂粒体。结论:对甲状腺组织标本应仔细观察,书页状切开并多取材,可以提高检出率,减少漏诊。Objective：To explore the clinical pathology characteristics of papillary microcarcinoma of thyreoid. Methods： Clinical and pathological data of 10 patients with primary papillary microcarcinoma of thyreoidea were retrospectively studied and finally diagnosed by rereading. Results：There were 10 patients（ 1 man and 9 women） , their ages were in the range of 18 to 56 years, the average age was 42.2 years. Morphologie characteristics： nidi of cancer were characteristic with nodosity or fabric cicatricle, grayishwhite, their ambits were unclear and the qualities were pachy, the diameters were about 0. 3-1.0cm. The tumors arrayed in complicated branching papillae with fibrous vascular axis and the cancer cells were also with frosted-glass caryons, nuclear pseudoinclusion, nuclear groove, fabric stromal reactions or psammoma bodies. Conclusion：Thyreoidea samples discissioed in pages should be observed and selected carefully in order to increase detection rate and decrease the rate of missed diagnosis.

关 键 词：甲状腺癌 隐匿性 病理 

分 类 号：R736.1[医药卫生—肿瘤]