甲状腺微小癌的临床特征及早期诊断

山东大学耳鼻喉眼学报

甲状腺微小癌的临床特征及早期诊断

刘新义，刘艳，李颂军，李大建，薛令军

青岛大学医学院附属威海医院耳鼻咽喉-头颈外科，山东威海 264200

收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2008-02-24 发布日期:2008-02-24
通讯作者: 刘新义

Clinical features and early diagnosis of thyroid micro-carcinoma

LIU Xin-yi, LIU Yan, LI Song-jun, LI Da-jian, XUE Ling-jun

Department of Otolaryngology & Head and Neck Surgery， Weihai Hospital, Medical College of Qingdao University， Weihai 264200， Shandong， China

Received:1900-01-01 Revised:1900-01-01 Online:2008-02-24 Published:2008-02-24
Contact: LIU Xin-yi

摘要/Abstract

摘要： 目的探讨甲状腺微小癌（thyroid microcarcinoma,TMC）的临床特点及早期诊断。方法回顾性分析76例TMC的临床及影像学特征。结果76例TMC中，术前甲状腺物理检查触及肿块或结节19例（25％）；常规健康查体中经B超检查发现肿物或结节68例（89.47%）；在甲状腺良性疾病手术中发现8例（10.53%）。所有病例术前经颈部B超检查，均证实为甲状腺实性占位或结节，其中双侧10例，单侧66例；低回声无包膜型63例（82.89%），有包膜型13例（17.11%）；结节伴钙化51例（67.10%）。CT或MRI扫描检查发现肿物64例（84.21%），其中肿物边界不清的56例（87.5%）；结节伴钙化42例（65.63%）。行甲状腺核素扫描55例，其中报告为“温结节”10例（18.18%）；呈现为“凉结节”或“冷结节”28例（50.90%）；未显示17例（30.91%）。结论TMC虽术前诊断困难，但通过定期综合查体，结合B超、CT/MRI、ECT等影像学检查，进行综合分析，大部分病例可以得到早期诊断。

关键词: 甲状腺, 微小癌, 甲状腺肿瘤, 外科手术, 诊断

Abstract: To investigate the clinical features and management of thyroid microcarcinoma. MethodsThe clinical features and imaging characteristics of 76 patients were retrospectively analyzed. ResultsOf 76 cases, tumors in 19 cases (25%) could be touched by thyroid physical examination before the operations, in 68 cases(89.47%) were determined by B ultrasonography in regular physical checkups, and in 8 cases(10.53%) were found by chance during benign thyrode tumor operations. All were confirmed by neck B ultrasonography before the operations, of them 10 were double thyroid tumors, 66 were unilateral, and 63 (82.89%) were hypoechoic and had no capsule. 51(67.10%) were calcific tuber. 64 (84.21%) cases were found by CT/MRI scanning before the operations, of them 56(87.5%) had no capsule, and 42 (65.63%) were calcific tuber. 55 cases were detected by nuclein scanning, of them 10(18.18%) were warm tuber, 18 (50.90%) were cold tuber, and 17(30.91%) were not shown. ConclusionTMC is difficult to diagnose before the operations, but by regular physical checkups, B ultrasonography, CT/MRI, ECT scan and other imagining examinations, most of them could be diagnosed.

Key words: Microcarcinoma, Thyroid neoplasms, Thyroid, Surgical operation, Diagnosis

中图分类号:

R736.1

刘新义,刘艳,李颂军,李大建,薛令军 . 甲状腺微小癌的临床特征及早期诊断[J]. 山东大学耳鼻喉眼学报, 2008, 22(1): 29-31 .

LIU Xin-yi,LIU Yan,LI Song-jun,LI Da-jian,XUE Ling-jun . Clinical features and early diagnosis of thyroid micro-carcinoma[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(1): 29-31 .

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