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《Sichuan Journal of Physiological Sciences》 2017-01
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Experience of diagnosis and treatment of 57 cases of thyroid mini carcinoma

Zhang Lu-lin;Kan Ni;Gu Chang-jiang;Zhang Chun-hui;Langshan District Street Community Health Service Center;Department of Thyroid and Breast Surgery,Affiliated Hospital of Nantong University;  
Objective:To investigate the clinical characteristics and operation related problems in the diagnosis and treatment of thyroid minute carcinoma.Methods:The clinical data of 57 patients with small thyroid carcinoma were collected from Jan.2008 to Oct.2012.Thirty-three patients underwent lobectomy,3cases underwent isthmus excision,4cases underwent thyroid total thyroidectomy and 17 cases underwent ipsilateral lobe plus isthmus and contralateral partial resection.All patients were treated with L-thyroxine 100~150μg· d~(-1).B-type ultrasonography was used to observe the pathologic types of all patients,tumor invasion of small thyroid carcinoma,vascular invasion,and other benign lesions.Results:Among the 57 cases of thyroid microcarcinoma,there were55 cases of papillary carcinoma and 2cases of follicular carcinoma.In 16cases(28.0%)of lymph node metastasis,8cases(14.0%)of capsule invasion,4cases(7.0% 2 cases of multiple lesions(3.5%).49cases(85.9%)were diagnosed by intraoperative frozen section,8cases(14.1%)were confirmed by pathology and 5cases underwent secondary operation.There was no recurrence after operation.Conclusion:B-ultrasonography combined with intraoperative rapid pathology can improve the diagnosis rate of thyroid microcarcinoma,and lobectomy and central lymph node dissection can reduce recurrence.
【CateGory Index】: R736.1
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