解放军医学院学报Issue(5)：449-451,457,4.DOI:10.3969/j.issn.2095-5227.2013.05.008
88例甲状腺微小乳头状癌诊治分析
Diagnosis and treatment of thyroid papillary microcarcinoma:An analysis of 88 cases
陈贵进 1王春喜 1李胜君2
作者信息
- 1. 解放军总医院 普通外科，北京 100853
- 2. 张家口市涿鹿县医院 普通外科，河北张家口 075600
- 折叠
摘要
Abstract
Objective To study the diagnosis and treatment of thyroid papillary microcarcinoma (TPMC). Methods Clinical data about 88 pathology-confirmed TPMC patients admitted to our department from January 2008 to January 2012 were retrospectively analyzed. Results The TPMC patients were diagnosed by fine needle biopsy under ultrasonic guidance, with a missed diagnosis rate of 15.9%and an intraoperative fast freezing missed diagnosis rate of 6.6%. Of the patients who underwent surgical treatment, 5 underwent therapeutic central compartment lymph node dissection, 6 underwent prophylactic central compartment lymph node dissection, and 5 were eventually diagnosed with cervical metastasis. The patients were treated with oral euthyrox tablets after operation and followed up for 3-56 months during which TPMC recurred only in 2 patients. Conclusion Attention should be paid to the clinical features of TPMC. Correct diagnosis and standard procedure are the key to its treatment.关键词
甲状腺微小乳头状癌/手术切除/淋巴结清扫Key words
thyroid papillary microcarcinoma/surgical resection/lymph node dissection分类
医药卫生引用本文复制引用
陈贵进,王春喜,李胜君..88例甲状腺微小乳头状癌诊治分析[J].解放军医学院学报,2013,(5):449-451,457,4.
