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甲状腺微小癌临床分析
引用本文:赵铭,刘善廷,孟昭忠. 甲状腺微小癌临床分析[J]. 中国耳鼻咽喉头颈外科, 2007, 14(6): 334-335
作者姓名:赵铭  刘善廷  孟昭忠
作者单位:河南省肿瘤医院头颈外科,河南,郑州,450008;河南省肿瘤医院头颈外科,河南,郑州,450008;河南省肿瘤医院头颈外科,河南,郑州,450008
摘    要:
目的 探讨甲状腺微小癌的诊断方法和治疗原则.方法 对1984年9月~2002年9月收治的82例甲状腺微小癌总结分析.结果 75例(91.5%)患者在术前或术中得以明确诊断,所有病例均行手术治疗,5例因复发和转移二次手术,1例死亡.结论 对可疑病例行必要辅助检查,有助于提高甲状腺微小癌诊断率.甲状腺患侧腺叶切除,术前或术中证实有淋巴结转移者行颈淋巴清扫术,是合适的治疗方法.

关 键 词:甲状腺肿瘤  甲状腺切除术  颈淋巴结清扫术
收稿时间:2006-12-06
修稿时间:2006-12-06

The clinical analysis of thyroid microcarcinoma
ZHAO Ming,LIU Shanting,MENG Zhaozhong. The clinical analysis of thyroid microcarcinoma[J]. Chinese Archives of Otolaryngology-Head and Neck Surgery, 2007, 14(6): 334-335
Authors:ZHAO Ming  LIU Shanting  MENG Zhaozhong
Affiliation:Department of Head and Neck Surgery, Henan Tumor Hospital, Zhengzhou, Henan, 450008, China
Abstract:
OBJECTIVE To study the diagnosis and surgical management of thyroid microcarcinoma. METHODS The clinical data of 82 cases with thyroid microcarcinoma performed in our hospital from Sep.1984 to Sep.2002 were retrospectively studied. RESULTS Thyroid microcarcinoma were diagnosed before or in the operation in 75 cases. All patients were treated with operation. Five cases underwent operation two times for recurrence or metastasis. One case died of the disease. CONCLUSION Accessory examinations were helpful to improving the diagnosis rate of thyroid microcarcinoma. IpsUateral Iobectomy with neck dissection if cervical lymph nodes were positive was the appropriate treatment.
Keywords:Thyroid Neoplasms   Thyroidectomy   Neck Dissection
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