甲状腺微小癌的诊断与治疗

目的探讨甲状腺微小癌的临床诊断和治疗方法。方法对诊断明确的30例甲状腺微小癌进行回顾性分析。结果术前仅8例疑为甲状腺微小癌,余22例均于术中冰冻和术后病理确诊。17例合并甲状腺良性疾病。伴颈淋巴结转移3例。30例中有7例术后无瘤生存时间≥10年,12例术后无瘤生存时间≥5年。结论甲状腺微小癌在女性发病较多,以单发癌结节为主。应综合运用B超、细针穿刺细胞学检查（FNAC）、术中快速冰冻病理检查等方法以求提高甲状腺微小癌的检出率。甲状腺微小癌手术治疗的预后较好,但术后仍需长期随访。

Diagnosis and treatment of thyroid microcarcinoma

Objective To investigate the clinical diagnosis and treatment of thyroid microcarcinoma. Methods 30 cases of confirmed thyroid microcarcinoma were retrospectively analyzed. Results Only 8 cases of suspected thyroid microcinoma preoperatively,the remaining 22 cases were confirmed according surgery and postoperative pathological diagnosis. 17 cases of benign thyroid disease. 3 cases with cervical lymph node metastasis. 7 cases of 30 were tumor-free survival time ≥ 10 years,12 cases were tumor-free survival time ≥ 5 years. Conclusion The incidence of thyroid microcarcinoma in women are more,mainly single nodules. We should make comprehensive use of B ultrasonic,fine needle aspiration cytology （ FNAC） ,intraoperative quick frozen biopsy and other methods to improve the detection rate of thyroid microcinoma. The prognosis of surgical treatment is better,but still long-term postoperative follow-up.