甲状腺微小癌诊治的探讨  

The diagnosis and treatment of thyroid microcarcinoma

作　　者：张永兰[1] 林鹏[1] 

机构地区：[1]天津市第一中心医院耳鼻咽喉头颈外科,天津市耳鼻喉科研究所,天津300192

出　　处：《临床耳鼻咽喉头颈外科杂志》2016年第15期1251-1253,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：甲状腺微小癌（thyroid microcarcinoma,TMC）指癌灶直径≤1.0cm的甲状腺癌,由于癌灶体积小、发病隐匿、病情进展缓慢、无明显临床症状,并且常与甲状腺其他疾病并存,导致术前诊断困难,存在一定的漏诊和误诊,但其预后良好,因此治疗方式存有较大争议,本文就TMC的诊断和治疗现状作一综述。1 TMC的定义1998年WHO在甲状腺癌的组织学分类标准中规定,Summary Thyroid microcarcinoma（TMC）refers to the diameter less than lcm in thyroid carcinoma. With the development of high frequency ultrasound and pathological diagnosis technology,the incidence of TMC increased. Preoperation examination methods include routine ultrasound, ultrasound elastography, CT and fine needle aspiration biopsy. But its treatment methods are controversal. In this paprer, we review the present status in the diagnosis and treatment of thyroid mierocarcinoma.

关 键 词：甲状腺肿瘤 淋巴结清扫术 诊断 治疗 

分 类 号：R736.1[医药卫生—肿瘤]