甲状腺微小癌的诊断与处理

山东大学耳鼻喉眼学报 ›› 2012, Vol. 26 ›› Issue (1): 44-45.

甲状腺微小癌的诊断与处理

孙臻峰，张佳，徐宏鸣，王果，董频

上海交通大学附属第一人民医院耳鼻咽喉头颈外科，上海 200080

收稿日期:2011-06-28 出版日期:2012-02-16 发布日期:2012-02-16
通讯作者: 董频。 Email: dongpin64@hotmail.com.cn
作者简介:孙臻峰，主任医师。 Email: sun-zhenf@yahoo.com.cn

Diagnosis and treatment of micro-thyroid cancer

SUN Zhen-feng, ZHANG Jia, XU Hong-ming, WANG Guo, DONG Pin

Department of Otolaryngology & Head and Neck Surgery, First People′s Hospital, Shanghai Jiao Tong University, Shanghai 200080, China

Received:2011-06-28 Online:2012-02-16 Published:2012-02-16

摘要/Abstract

摘要：

目的探讨发现甲状腺微小癌的途径。方法对136例已确诊的甲状腺微小癌患者临床资料进行分析，对甲状腺微小癌可能出现的相关临床症状、阳性率较高的检测手段及诊治原则进行总结。结果 136例中有咽异感症者46例(46/136)，所有病例甲状腺彩超均显示肿块直径不超过1.0cm，内有细碎状钙化点。所有病例均进行了相应的手术，术后随访1年以上均未发现复发。结论咽异症可能与甲状腺微小癌存在关联，甲状腺高频超声检查是发现微小癌的重要手段。早期手术是甲状腺微小癌治疗成功的关键。

关键词: 甲状腺微小癌；咽异感症；高频超声检查；手术

Abstract:

Objective To explore the ways to determine the diagnose of micro-thyroid cancer. Method The clinic data of 136 cases, confirmed as micro-thyroid cancer, were analysed .The related symptoms and highly sensitive examinations, as well as the treatmemt of micro-thyroid cancer, were reviewd. Results There were 46 cases of Globus pharyngeus in 136 cases(46/136). All cases were examined by High-resolution thyroid ultrasound, in which the mass with small calcium bits were identified. All cases underwent the surgery treatment and followed up for more than 1 year. No one recurred. Conclusion Globus pharyngeus may be related with micro-thyroid cancer. High-resolution thyroid ultrasound is an important means to identify micro-thyroid cancer. Early surgeyy is the key for the successful treatment.

Key words: Micro-thyroid cancer; Globus pharyngeus; High-resolution thyroid ultrasound; Surgery

中图分类号:

R736.1

孙臻峰，张佳，徐宏鸣，王果，董频. 甲状腺微小癌的诊断与处理[J]. 山东大学耳鼻喉眼学报, 2012, 26(1): 44-45.

SUN Zhen-feng, ZHANG Jia, XU Hong-ming, WANG Guo, DONG Pin. Diagnosis and treatment of micro-thyroid cancer[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2012, 26(1): 44-45.

参考文献

相关文章 6

[1]	柴吉鑫,贺青卿,庄大勇,郑鲁明,周鹏. 甲状腺乳头状微小癌癌基因和肿瘤标志物研究进展[J]. 山东大学耳鼻喉眼学报, 2012, 26(4): 82-86.
[2]	王欣如1，2，刘志艳3，李丽珍1，黄涛2，夏斌4，李芳邻1，2. TGF-β1G-800A、C-509T单核苷酸基因多态性与甲状腺乳头状癌易感性的关系[J]. 山东大学耳鼻喉眼学报, 2012, 26(3): 28-32.
[3]	范林军1,明佳1,黄定德2，范子义1, 赵德龙3,张毅1,杨新华1,姜军1. 腔镜甲状腺近全切除序贯131I消融治疗分化型甲状腺癌[J]. 山东大学耳鼻喉眼学报, 2011, 25(5): 11-16.
[4]	伊海金1，张宝泉2. 甲状腺癌的外科治疗分析[J]. 山东大学耳鼻喉眼学报, 2010, 24(4): 10-12.
[5]	陈伟雄王跃建曾勇何发尧张剑利郑立岗汤苏成. 胸骨上小切口无注气内镜甲状腺手术的临床体会[J]. 山东大学耳鼻喉眼学报, 2009, 23(4): 24-26.
[6]	曾冬前，项俊，陈禹武，顾东胜，王天生. 甲状腺手术美观性技巧改进[J]. 山东大学耳鼻喉眼学报, 2009, 23(3): 23-24.

多维度评价

Viewed

Full text

Abstract

Cited

Shared

Discussed