甲状腺微小癌的诊断和治疗

Abstract

grade V 5 cases. Among them, 83 cases of grade III and IV were all performed by ultrasound guided needle aspiration cytology in 76 cases. Cervical lymph node enlargement: VI area in 35 cases, 25 cases of cervical side area, of which 8 cases of cervical lateral lymph node needle biopsy confirmed metastatic lymph nodes for thyroid cancer. CT examination results: 4 cases all showed no significant accounting, not all of the thyroid gland density, 2 cases showed that the neck and trachea lymph nodes increased. Cytological examination of cervical lymph nodes:. Thyroid “cold nodule”.

2.In this group of cases, 101 cases were diagnosed by intraoperative frozen pathological examination, of which 19 cases were confirmed by pathological examination after operation, the false negative rate was 19%;

3. In this group, there were 38% (38/101) in the lymph node metastasis in the VI region.Lateral cervical lymph node metastasis was 14% (14/101), the two groups had significant difference (P<0.05), there was statistical significance;

4. In VI lymph node dissection, preoperative ultrasonography found for the transfer of 60.00% (30 / 50); no metastasis was found in the lymph node was 25.00% (8 / 32), with statistical significance (P < 0.05); neck region of lateral lymph node dissection, preoperative ultrasonography was found and no metastasis was found in the lymph node was 63.16% and 16.67% respectively, was statistically significant (P < 0.05) 5．Affect the prognosis and recurrence related factors of single factor variance analysis and multiple logistic regression analysis, finally found lesions were multiple, enveloped and lymph node metastasis tumor recurrence of independent factors (P < 0.05) for the patient.

6. After surgery, there were 8 cases of patients with low parathyroid function, temporary, 3 months after the recovery, no recurrent laryngeal nerve palsy.

Conclusion:

High resolution ultrasound and ultrasound guided needle aspiration cytological examination are

VI

Abstract

the main methods for the diagnosis of thyroid micro carcinoma before operation. The rate of lymph node metastasis in thyroid carcinoma is high, which requires that the +VI region lymph node dissection in the near total resection of the thyroid gland is required. Thyroid cancer can be early cervical lymph node metastasis, not all of them early cancer.

Key words: thyroid cancer; early diagnosis;ultrasound；needle aspiration cytology

VII

目 录

目 录

正文部分

前言 ·························································································· 1 资料与方法 ················································································· 2 结果 ·························································································· 3 讨论 ·························································································· 6 结论 ························································································· 21 参考文献 ··················································································· 21

综述部分

甲状腺乳头状微小癌的主要诊断和外科治疗 ······································ 28 参考文献 ··················································································· 35

附录部分

个人简介 ··················································································· 38 攻读硕士学位期间发表论文： ························································ 38 致 谢 ······················································································ 39

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DIRECTORY

BODY PART

PREFACE ·················································································· 1 MATERIALS AND METHODS ························································· 2 RESULT ····················································································· 3 DISCUSSION ·············································································· 6 CONCLUSION ············································································ 21 REFERENCE ·············································································· 21

REVIEW SECTION

PRIMARY DIAGNOSIS AND SURGICAL TREATMENT OF PAPILLARY THYROID CARCINOMA ······························································ 28 REFERENCE ·············································································· 35

POSTSCRIPTURAL MATTER

PERSONAL PROFILE ··································································· 38 STUDY FOR A MASTER'S DEGREE IN PUBLISHED PAPERS： ············ 38 THANKS ··················································································· 39

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