甲状腺乳头状微小癌36例临床分析

目的总结甲状腺乳头状微小癌的诊治体会。方法回顾性分析1996年1月至2005年12月经手术和病理诊实的36例甲状腺乳头状微小癌的临床资料。结果36例甲状腺乳头状微小癌，术前诊断9例（25％），术中冰冻切片诊断22例（61．1％），所有病例经石腊切片确诊，与良性结节并存20例。随访5个月至8年，无手术并发症，无手术死亡，复发1例。结论重视术前彩超及术中冰冻切片可减少本病的漏诊，甲状腺微小癌的外科治疗应根据病例的具体情况而定。

Clinical analysis of 36 cases of papillary thyroid microcarcinoma

Objective To summarize the experience in the diagnosis and treatment papilary thyroid microcarcinoma. Methods From January 1996 to December 2005,36 cases with papillary thyroid micro-carcinoma were analyzed retrospectively. Results In the 36 cases of thyroid micro carcinoma(TMC), preoperative diagnosis confirmed by fine needle biopsy ultrasound guided was in 9 was (25%) and intraoperative diagnosis confirmed by frozen section was in 22 cases(61.1%). The diagnosis of all cases were confirmned by paraffine section after operation. No operative death and postoperative complications were found. All cases were followed-up from 5 months to 8 years and only one case had recurrence. Conclusion Preoperative color Doppler ultrasonography and intraoperative frozen section would reduce misseddiagnosis. Surgical procedures of TMC should depend on patient's individual situation to decision.