甲状腺乳头状微小癌

目的为了确定甲状腺乳头状微小癌病人的特点及术后效果.方法总结了我院1954年至1992年间外科治疗的1196例甲状腺乳头状癌病例.结果93例(7.7%)甲状腺肿瘤直径在1.0cm以下.其中49例因其它甲状腺疾患,手术时意外发现.41例行一侧腺叶切除术,其10年生存率为100%.44例以颈淋巴结转移为首发症状的病人,皆行一侧腺叶切除和颈淋巴结清除术,10年生存率为91.8%.所有病人平均随访11年,44例颈淋巴结转移的病人中,有3例死于局部复发或远处转移.结论分析结果提示,无颈淋巴结转移的病人,一侧腺叶切除已足够.而伴有颈部转移的病人,一侧腺叶切除和颈淋巴结清除是必要的.

Papillary microcarcinoma of the thyroid

Objective To characterize patients with papillary thyroid microcarcinoma and provide data on outcome after surgical therapy.Methods 1196 patients with papillary thyroid carcinoma who had initial treatment at Tianjin Cancer Hospital from 1954 to 1992 were reviewed.Results 93(7.7%)had a cancer with a diameter of 1.0cm or less,of whom 49 patients were diagnosed incidentally at the time of surgical operation of other thyroid diseases,and unilateral lobectomy was performed in 41 cases,the 10-year survival rate being 100%.44 patients presented cervical lymph node metastases as the first sign,and unilateral lobectomy with neck dissection was performed,the 10-year survival rate being 91.8%.Median follow-up time was 11 years.Out of the 44 patients with cervical lymph node metastases,3 died of relapse or distant metastases.Conclusion These results suggest that for patients without cervical metastases,unilateral lobectomy is sufficient,and for patients with cervical metastases unilateral lobectomy with neck dissection is necessary.