隐匿性甲状腺癌的诊断与治疗

对６１例手术并经病理证实的隐匿性甲状腺癌的临床资料进行分析，以探讨隐匿性甲状腺癌的诊断和治疗特点。其中因甲状腺其他疾病术后病理检查时发现２３例，以颈淋巴结转移为首发症状者３４例，以远处转移为首发症状者２例，其他部位手术发现２例。全部病例均行手术治疗。

Diagnosis and Management of the Occult Thyroid Carcinoma

To investigate the characteristics of diagnosis for the occult thyroid carcinoma and its management,the clinical data of 61 cases with the occult thyroid carcinoma were analysed retrospectively.Twenty-three cases were found by tumor mass of thyroid,34 cases were found primarily by cervical node metastasis,2 cases were traced by distant metastasis,2 cases were found at the time of operation in other tumor of the head and neck.All the cases were treated surgically.Lymphatic metastatic rate was 62 3%.The survival rate of 10-year was 87 5%.The authors considered that there are much possibility of the occult thyroid carcinoma,if the little solid node or greyish white node was found in the thyroid,and using the frozen section could identify the diagnosis.If there were swelling lymphoidnode,the biopsy and needle aspiration cytology were available for the diagnosis.The patients with the lateral cervical metastasis,a combined radical resection should be performed.For the primary lesion without swelling lymphoidnode,the lobectomy plus isthmic resection is necessary.Whether a preventive neck scavenging operation should be performed depends on the range of carcinoma invasion and its pathological type.