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为了探讨甲状腺微小癌(TMC)的临床诊断和治疗方法,对诊断明确的66例TMC进行回顾性分析。术前32例疑为甲状腺癌,34例均于术中冷冻和术后病理确诊。47例合并甲状腺良性疾病,伴颈淋巴结转移8例。初步研究结果提示,TMC术前不易确诊,且易漏诊,对甲状腺良性疾病手术时应仔细触诊,术中均应行冷冻切片。高频彩超提示,甲状腺结节中的微钙化(砂粒样钙化)是术前诊断甲状腺癌(乳头状癌)特异性最高的指标。
In order to explore the clinical diagnosis and treatment of thyroid microcarcinoma (TMC), 66 cases of TMC with definite diagnosis were retrospectively analyzed. Preoperative 32 cases of suspected thyroid cancer, 34 cases were intraoperative frozen and pathological diagnosis. 47 cases with benign thyroid disease, with cervical lymph node metastasis in 8 cases. Preliminary findings suggest that TMC preoperative diagnosis is not easy, and easy to missed diagnosis, thyroid benign disease should be carefully palpable surgery, surgery should be frozen section. High-frequency color Doppler ultrasound tips, thyroid nodules in the micro-calcification (grit-like calcification) is preoperative diagnosis of thyroid cancer (papillary carcinoma) the highest specificity of the indicators.