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38例甲状腺微小癌临床病理分析 预览 被引量:6

Clinical and Pathological Analysis of 38 Cases of Thyroid Micro-carcinoma
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摘要 目的:探讨甲状腺微小癌的临床病理特征。方法:对吉化集团公司总医院1989~2008年收治的经病理学检查证实的38例甲状腺微小癌临床病理资料进行回顾性分析和总结。结果:38例甲状腺微小癌中35例术前考虑良性病变而术中快速冰冻病理发现或是术后病理检查才发现(92.11%),仅3例是在术前甲状腺彩色多普勒超生检查中诊断为甲状腺癌(7.89%);38例微小癌中36例为乳头状癌(94.73%),2例为滤泡型癌(5.26%)。结论:甲状腺微小癌多并存于其他甲状腺良性疾病中,且多数为乳头状癌。对可疑病灶进行术中快速病理检查,标本多取材,细致阅片,能够提高甲状腺微小癌的检出率。 Objective:To investigate clinical and pathological features of thyroid micro-carcinoma.Methods:Clinical and pathological data of 38 cases thyroid micro-cancer were retrospectively analyzed.All patients in this study were pathological confirmed and got treated from The General Hospital of Jilin Chemical Group Corporation among 1989 to 2008.Results:35 Cases micro-thyroid cancers were considered as benign before conformed by pathological routin diagnosis or quick frozen pathological examination(92.11%).Only 3 patients got preoperative diagnosis of thyroid cancer by colour Doppler ultrasonic examination(7.89%).36 cases of small cancer in 38 observed cases were papillary carcinoma(94.73%),only 2 cases were follicular carcinoma(5.26%).Conclusion:Much more thyroid micro-cancer co-exists with other benign thyroid diseases.Majority pathological subtype of thyroid micro-cancer is papillary carcinoma.Rapid pathological frozen section examination,multiple specimen collection and carefully check slices can improve the detection rate of thyroid microcarcmoma.
作者 曲晓峰 刘洋 谭翠松 Qu Xiao-feng~,Liu Yang~,Tan Cui-song~ (1 Department of Pathology,General Hospital of Jilin Chemical Group Corporation,Jilin 132022,China; 2 Unit of Burning General Hospital of Jilin Chemical Group Corporation,Jilin 132022,China)
出处 《中国医药导刊》 2011年第11期 1861-1862,共2页 Chinese Journal of Medicinal Guide
关键词 甲状腺 微小癌 临床病理 诊断 Thyroid Micro-carcinoma Clinical pathology Diagnosis
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