隐匿性甲状腺癌的诊治  

Diagnosis and treatment of occult cancer of the thyroid

作　　者：宋大公 丁红华 

机构地区：[1]河南省信阳市中心医院肿瘤外科,464000

出　　处：《中国实用医刊》2012年第24期32-33,共2页Chinese Journal of Practical Medicine

摘　　要：目的探讨隐匿性甲状腺癌的临床诊治特点。方法对2006年3月至2012年3月收治的72例隐匿性甲状腺癌患者的资料进行回顾性分析。结果共行单侧甲状腺腺叶加峡部切除术62例，双侧甲状腺次全切除术2例，单侧腺叶、峡部切除术加同侧颈淋巴结清扫术7例，双侧甲状腺次全切除加淋巴结清扫1例。全组72例无手术死亡和术后并发症。结论隐匿性甲状腺癌术前不易确诊，且易漏诊，对甲状腺良性疾病手术时应仔细触诊，对可疑结节行冰冻切片。首次手术应行患侧腺叶及峡部切除术，有淋巴结转移者行功能性淋巴结清扫术。Objective To investigate the characteristics for the diagnosis and treatment of occult cancer of the thyroid （OCT）. Methods The clinical data of 72 cases of OCT undergoing surgical treatment in our hospital from March 2006 to March 2012 were retrospectively analyzed. Results Total resection of the affected lobe and isthmus was performed in 62 cases. Subtotal thyroidectomy was performed in 2 cases. Total resection of the affected lobe, isthmus and neck dissection was performed in 7 cases. There was no mortality in operation or postoperative complication. Conclusions It is difficult to diagnose OCT preoperative and sometimes misdiagnosed. There should be palpate carefully during the operation of benign thyroid disease, and give frozen section to the suspected nodules. Patients treated by excision of the suffered lobe and isthmus on the first-time operation. Functional neck lymph node excision should be taken, if the neck lymph node can be palpable.

关 键 词：甲状腺 隐匿性癌 诊断 治疗 

分 类 号：R73[医药卫生—肿瘤]