甲状腺隐匿癌13例报道

本文报道１３例甲状腺隐匿癌．其中２例是以颈部淋巴结转移为首发症状．肿块最小仅１ｍｍ．病理类型乳头状癌８例，滤泡癌２例，混合型癌３例．１１例行腺叶切除术，２例行颈清扫术。甲状腺隐匿癌均伴在其他良性甲状腺疾病中，故对良性肿瘤应行甲状腺切除术，同时对术后标本应仔细寻找可疑病灶，以防遗漏．对于颈部异常肿大淋巴结应及时活检。本组随访２年～１０年无复发，预后良好．

Occult Carcinama or Thyroid(Report of 13 Cases)

Thirteen cases of occult carcinoma of the thyoid are reported.Two cases first present as a metastasis to cervical lymph nodes.The smallest tumor is only 1 millimetre. Pathologically,eight cases are classified as papillary carcinoma, two folliaular carcinoma,tree mined typeso f caroinoma. Lobeotomy of the involved thyroid lobe was performed in 11 cases.Conservativeneck dissection was performed in two cases The occult carcinoma of the thyroid tends to be complicated with ben ign disesase of the thyroid. So lobectomy of thyroid should be performed in benign disease of thyroid. The suspicious focus should be over looked in pastoperative specimen.The biopsy can be made immediately in neck adenopathy.13 cases were followed up for 2～10years without. recurrence.