Dissertation > Medicine, health > Oncology > Internal endocrine tumors > Thyroid tumors

Diagnosis and Treatment of Thyroid Microcarcinoma

Author ZhangZhengYu
Tutor ZhaoYongFu
School Dalian Medical University
Course Surgery
Keywords Thyroid microcarcinoma Thyroid microcalcifications Clinical diagnosis Surgical treatment
CLC R736.1
Type Master's thesis
Year 2010
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Objective: To investigate the clinical diagnosis and treatment of thyroid microcarcinoma . Methods: A retrospective analysis of the clinical data from January 2002 to October 2009 menstrual preoperative and postoperative pathology confirmed 69 cases of thyroid microcarcinoma patients . Results: 69 cases of thyroid microcarcinoma patients , of which 49 cases ultrasound prompted thyroid nodules with microcalcifications and suspected thyroid cancer . Four cases of preoperative fine needle aspiration needle aspiration cytology , two cases diagnosed with thyroid cancer . The preoperative cervical lymph node biopsy in three cases , two cases diagnosed as papillary thyroid carcinoma cervical lymph node metastasis . Pathological diagnosis shows : 66 cases of papillary carcinoma ( 95.7 %) , follicular carcinoma in 2 cases ( 2.8% ) , medullary carcinoma (1.4% ) . The coexistence of thyroid microcarcinoma with benign thyroid lesions 64 cases . Intraoperative frozen section examination confirmed 41 cases of thyroid microcarcinoma . After paraffin pathological diagnosis of 28 cases of thyroid microcarcinoma . The patients by paraffin pathologically diagnosed patients with thyroid microcarcinoma secondary remedial surgery . Thyroid microcarcinoma complex issue after the second surgery . The patients were followed up for 2 months to 7 years , except 1 patient 3.5 years residual thyroid micro cancer recurrence , the remaining 68 cases of thyroid microcarcinoma patients had no recurrence and metastasis . Conclusion: The preoperative diagnosis of thyroid microcarcinoma more difficult , the high rate of misdiagnosis and missed diagnosis rate . Thyroid microcarcinoma often coexist with nodular goiter and other thyroid benign and malignant lesions often concealed, thereby enhancing thyroid microcarcinoma missed diagnosis and misdiagnosis rate . Color Doppler ultrasound examination prompted thyroid nodule microcalcifications of of thyroid microcarcinoma the diagnosis has high specificity , preoperative ultrasonography can improve thyroid microcarcinoma rate of preoperative diagnosis and intraoperative frozen biopsy may improve thyroid microcarcinoma intraoperative diagnosis rate . Significantly to reduce of thyroid microcarcinoma the recurrence rate after surgery , the prognosis is good .

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