甲状腺乳头状微小癌13例临床病理分析

目的探讨甲状腺乳头状微小癌(papillary thyroid microcarcinoma,PTM)的临床病理特点。方法分析13例甲状腺乳头状微小癌的临床病理资料,并复习相关文献。结果男性1例,女性12例,男女之比为1∶12,女性中位年龄为46岁。同时伴有结节性甲状腺肿和甲亢5例(38.5%),单独伴有结节性甲状腺肿4例(30.8)%,单独伴甲亢4例(30.8%)。甲状腺乳头状微小癌具有典型的甲状腺乳头状癌组织学特征。结论 PTM发病隐匿,常与其他甲状腺疾病共存。病理医师对甲状腺标本常规行书页状取材,连续切片,可提高PTM的检出率。

Papillary Thyroid Microcarcinoma:A Clinicopthological Analysis of 13 Cases

Objective To study the clinical and pathological featueres of papillary thyroid microcarcinoma（PTM）.Methods The clinical and pathological data of 13 cases of PTM were retrospectively analyzed,and the related literatures were reviewed.Results The patients included 1 males and 12 females,with the median age of 46 in female cases.The rate of male to female was 1∶12.Among the 13 cases,there were 5 cases with nodular goiter and hyperthyrosis（38.5%）,4 cases with nodular goiter（30.8%） and 4 cases with hyperthyrosis（30.8%）.PTM have the classic feature of histology of papillary thyroid carcinoma.Conclusion PTM is clinically atypical and often complicated with other thyroid diseases.Serial section of the tumor samples might increase the diagnosis rate of PTM.