Clinical Study on Papillary Microcarcinoma of the Thyroid with the Neck Nodular Metastasis as Its Primary Symptom
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摘要: 目的 :探讨以颈部转移灶为首发症状的甲状腺乳头状微癌的临床特点及诊治中的特殊性。 方法 :分析1991～2003年收治的20例以颈淋巴结转移首诊者的临床、病理及随访资料。 结果 :15例经术前淋巴结切除活检,5例经术中冰冻病理确诊,均有颈淋巴结转移,均行颈清术,转移最多在Ⅵ区。随访17例均无复发及远处转移。 结论 :出现明显颈部转移的甲状腺乳头状微癌属于进展性癌,应通过淋巴结切除活检或术中冰冻获得正确诊断并积极行联合根治手术,必要时行传统性颈淋巴结清除术。Abstract: Objective: To explore the clinical character of the papillary microcarcinoma (PMC) of the thyroid and speciality in its diagnosis and treatment. Methods : The clinical, pathologic and followup information of 20 cases of thyroid PMC which only appeared clinically as the neck nodular metastasis from 1991 to 2003 treated in our department surgically was collected and reviewed. Results : Fifteen cases of patients were diagnosed to be thyroid PMC by the biopsy of neck nodular preoperatively and 5 cases by frozen section pathological examination during the operation. All of these cases underwent neck dissection. Neck nodular metastasis was found in all of the cases and most of them occurred at level !. Conclusion : Thyroid PMC which occurs neck nodular metastasis obviously belongs to progressive carcinoma. It can be diagnosed by the biopsy of neck nodular preoperatively or by frozen section pathological examination during the operation. Neck dissection operation should be conducted actively and early.
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Keywords:
- thyroid /
- papillary /
- microcarcinoma /
- metastasis
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